Affiliate your science/skepticism group Group Information Group name:* Is your group incorporated?* YesNo Is your group a non-profit organization?* YesNo Postal address:* Display address on listing? YesNo Alternate address for map listing: Phone number: Display phone on listing? YesNo Alternate phone number for map listing: (optional) Contact Information Contact name:* Display contact on listing? YesNo Contact title: Email address:* Group website: Group Activities Which of the following activities does your group currently engage in? Lecture meetingsField tripsTabling at street fairsAdvertisingSocial eventsArts eventsPublic protestsLetter writing/email campaignsOther Does your group publish a newsletter? YesNo What is the newsletter name? Check all the ways your newsletter can be read: HardcopyElectronic How often is your newsletter published? MonthlyBimonthlyQuarterlyOther Does your group charge membership dues? YesNo How much are group dues and how frequent? (ex. $20/year) Other Any other information or suggestions?