Signature Captain Interest Form
Thank you for your interest in becoming a Whole Washington Signature Captain!

Collecting signatures to put universal healthcare on the ballot is perhaps the most direct way to advance universal healthcare in Washington state. Anyone can be a signature captain - you don't even need to live in Washington!

Signature captains must commit to gathering and submitting 500 signatures either by themselves or with a small team. It is not a huge time commitment and with a little training and planning we know you can be successful.

By signing up here you are only indicating an interest in learning more about the program - Whole Washington will be in touch with you soon! If you choose to continue we will get you registered for an orientation session at which point you will officially be a Whole Washington Signature Captain!

We are very excited to work with you. Together we will pass health care that's always there and make Washington whole!
First Name *
Last Name *
Phone Number *
Zip Code *
Which of the following interests you in being a signature captain? *
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Is there anything else you would like to share or ask?
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