Activism Kit Request Form
By submitting this activism kit request form you agree to taking 3-5 high quality photos of you using the materials and that you will email them to dclement@studentsforliberty.org.
Email address *
Name *
Your answer
Full Shipping Address (Include State/Province and Zip/Postal Code) *
Your answer
I agree to take 3-5 photos of the materials being used and to submit a contact form *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Students For Liberty. Report Abuse - Terms of Service - Additional Terms