Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
CeaseFire Now Advocacy Days questionnaire
For organizations and individuals interested in lobbying in DC or online April 9 - 19
* Indicates required question
Email
*
Record my email address with my response
List your US Rep and US Senators
*
Your answer
Name
*
Your answer
Email address
*
Your answer
Organization
*
Your answer
Phone
*
Your answer
Is your organization interested in coming to DC for lobbying on Capitol Hill, or doing your lobby meetings online?
*
Capitol Hill
Online
Both
If you plan to come to DC, do you need funding support, if available?
*
Yes
No
Will your org support the Advocacy Days via media, social media, and call-in days?
*
Your answer
If coming to DC, are you interested in other possible events in addition to lobby days? Strategy meeting, educational event, protest at the White House, other? Nothing is planned as of now, so feel free to share your ideas.
Your answer
Any other information you want to share?
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Peace Action.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report