Questionnaire 4

Suggest people and organizations we should contact.

We are seeking to reach as many people as possible who supported African struggles for freedom. Please provide as much information as possible. Even if you have no current contact information, please provide names. You can submit as many suggested contacts as you want by filling out this questionnaire numerous times. Please note that this information will only be used for contacting the person, not in our published directories.

Section One – Information on Person or Organization to contact

1.
Name and current contact information:
Name:
Organization:
Address:
City: State: Zip:
Daytime phone: Evening phone:
Cell: Fax:
Email:
2.
Last known location if you have no current contact information. Please provide as much information as you can, even if it is just a city.
Organization:
Address:
City: State: Zip:
3.
Reasons for your suggestion: (250 words maximum)
4.
Solidarity organizations this person was associated with. Please include locations: (Examples "Students Against Apartheid, ABC University, Town, NJ" or "My City out of South Africa, Hometown, PA" or "Free Namibia Committee, Town, CA". 350 words maximum.)
5.
Issues/campaigns of suggested contact: (250 words maximum)
6.
Your relationship with the person: (100 words maximum)
7.
Additional information and comments: (200 words maximum)

Section Two – Respondent Information

8.
Name and current contact information:
Name:
Organization:
Address:
City: State: Zip:
Daytime phone: Evening phone:
Cell: Fax:
Email:
9.

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