Request a New User Account and tell us a bit about yourself.
(If this form fails to work, email me, JGW, your request)

    To sign-up for an account on this site, please fill in the form fields just below. When finished, please answer the questions that follow the form. Then click SUBMIT to send the form and your answers to the questions by email to the site administrator, JGW.

    Your First Name (required)

    Your Last Name (required)

    Your Email (required)

    Your Preferred Username (required)
    (I.e. if we grant you a user account, what username would you like?)

    Your City of Residence (required)

    Your State/Province of Residence (required)

    Your Country of Citizenship (required)
    (In what country are you a citizen?)

    Your Reasons to Join the Coalition

    Your Preferred Volunteer Work to Do for the Coalition site, site content development and/or for its members (optional)

    Any additional remarks or suggestions you may have for us: (optional)

    Please also answer these questions:

    Are you a U.S. or Canadian citizen?
    USACANNo answer

    Are you a registered Green?

    Are you committed to non-violence in your thoughts (that you act on), your words and your deeds, especially your public political thoughts, words and actions? That does not mean you cannot be angry about politics and/or some of the bad acting people in politics. Just please promise to control yourself and respect others in public and in your postings on this site.
    YesNoNot sure

    …eventually to be a site for world-wide Green coalitions and caucuses of more open-minded, but still very progressive "greens", i.e. members of our existing Green Parties starting with the GP USA and GPs in each of the 50 US States, the 16 US territories, then Canadian GP members, etc.