Week of Action Group Signup

Local Group Action Signup

#WeekofAction
Group Name*
Group Website
There will be a place to share the url for the event below
Social Media Link
Facebook, Twitter, or Instagram link to follow for updates
Email*
This email will not be shared publicly
Phone Number (Not Shared)

Area CodePhone Number
City*
Event is remote but helps to locate local groups
State*
Zip Code*
Event Name*
Date*

MonthDayYear
Date
Event Description
Event Updates
How do people stay up to date about the event? FB URL, Website, Etc
Event Image or Logo

Browse Files

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Would you be interested in talking to press about your group's Week of Action participation if the opportunity arose?*

YesNo

Local Group Action Signup