Declaration of Organization Policies Form Download Form (PDF) Declaration of Organization Policies Form Organization Name(Required) Contact Person(Required) Title(Required) Phone(Required)Email(Required) I, the undersigned, a formal representative of the above organization, declare that the above organization does not directly or indirectly: Support, promote or fund the practice of surgical or chemical abortion. Support, promote or fund the practice of the destruction of human embryos to extract embryonic stem cells or the practice of embryonic stem cell research. Support, promote or fund the use or distribution of artificial contraceptives including so-called emergency contraception. Support, promote or fund the practice of human cloning. Support, promote or fund pornography. Support, promote or fund assisted suicide or euthanasia practices. Support or promote same sex marriage and/or civil unions. Signature(Required)Today's Date(Required) MM slash DD slash YYYY Printed Name(Required) CAPTCHA Δ