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Action List
ACT OR BE ACTED UPON
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First Name
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
What is your level of time commitment
*
CHOOSE ONE OR ALL - Be realistic so we know how much to rely on you.
An hour or so a day
A few minutes a day
A few hours a week
I will make time when needed
Throughout the month, for a few hours
Required
Are you willing to make signs and show up to protest?
*
Yes
No
Yes - as long as it is within 250 miles from my house.
What State do you live in
*
Your answer
What County do you live in?
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Your answer
What is your Zip Code?
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Your answer
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