New look, same Alliance. Learn more about our rebrand here.

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New look, same Alliance. Learn more about our rebrand here.

Directory
Donate

New look, same Alliance.

Directory
Donate

Ambassador Listing Form

Your Details

Enter your name.
Enter your email address.

Enter Listing Details

Enter your name as you would like it to appear publicly.
Please select which lived experience best describes you.
When did you join PMD Alliance as an ambassador? (An estimated year is okay too!)
Please enter only your city and state to retain your privacy.
Click on above field and type to filter list.
Click on above field and type to filter list or add a new region.
Click on above field and type to filter list or add a new city.
Click on "Set Address on Map" and then you can also drag map marker to locate the correct address
Please enter latitude for google map perfection. eg. : 39.955823048131286
Please enter longitude for google map perfection. eg. : -75.14408111572266
Please select listing map view to use
These are the three things you completed in order to become a PMDAmbassador. You might have accomplished more than three!
Please choose up to 3.
Tell us about yourself! This is also a great place to include information on the groups or events you may host in your community.
200x200 pixels in size. You may copy the following link for an easy to use template: https://canva.link/xb3x6fnbixcyxpk
Drop file here

OR

Allowed file types: .jpg, .jpe, .jpeg, .gif, .png, .bmp, .ico, .webp, .avif
You can enter your personal or group website.
You can enter your personal or group Facebook URL.
You can enter your personal or group Instagram URL.
You can enter your personal or group X (Twitter) URL.
You can enter your personal or group TikTok URL.
Please accept our terms and conditions.
Preview Listing

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