Be Counted!

The Love Exiles Foundation wants to know how many same-sex bi-national couples are affected by lack of immigration rights in one or both of their home countries.

We use the information we gather in our support and advocacy work. We keep all personal information in the strictest confidence and never release personal information to other organizations.

Please fill in the form to join Love Exiles and be counted.

First name
Last name
Gender	Female Male
Your nationality or nationalities
Your partner's nationality or nationalities
Your home country (where you currently live)
Your partner's home country (where he or she currently lives)
Relationship status (choose all that apply)	Domestic partners or registered partners Living together Long distance relationship Married Unmarried Other:
Your email address

Tell us what issues youand your partner are currently facing, or anything else you would like to say about yourself:

Thank you for taking the time to share you information with us. We keep all information in the strictest confidence and will not release it to third parties.

I would like to join the Love Exiles email list.

Please do not include me on the Love Exiles email list.