Request edit access
RepUs Chapter Mailing Requests
Please fill out the mailing request form AT LEAST 1 WEEK before it is needed. If you have any issues or requests you would like discuss directly with the organizing team, please contact us at Contact us at (413)-333-5629 or helen@represent.us.

For the mailing request index, go to this URL: https://docs.google.com/document/d/1jfSazxPHilJMJqume0Z09jrNXkmE70IDUQIIpCF6Ow0/edit

Email address *
Name of Requester *
Your answer
Name of RepUs Chapter *
Your answer
What is the kit you would like to order? (see mailing index) *
Please enter the product number
Date materials are needed by (please allow 1 WEEK for processing)
MM
/
DD
/
YYYY
What is the material request for? (Special event, tabling, petitioning, etc.)
Your answer
Additional notes/requests
Your answer
Contact info
Your name *
Your answer
Full Mailing Address *
Your answer
Phone number
Your answer
E-mail
Your answer
Preferred contact method
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This form was created inside of represent.us. Report Abuse - Terms of Service - Additional Terms