Mapping Fossil Fuel Resistance Submission Form
Thank you for helping map our fossil fuel resistance! You can add your fight by filling out this form, but first, please take a moment to consider whether your group:

1. Is directly involved in opposing a specific piece of oil or gas infrastructure (pipeline, pumping station, or extraction site);
2. Is working with community leaders directly impacted by the proposed project
3. Is looking for more folks to get involved in your area
4. Is operating in North America

Your Name *
First and last name
Your answer
Name of Pipeline/Project *
Name of the project you're fighting
Your answer
Name of your group/organization *
Your answer
Website *
Please provide the link to your groups main website. If you don't have one, a google doc or Facebook page is fine.
Your answer
Facebook Page *
Please include the link for your Facebook page or Facebook group where people can get updates about your fight. If you don't have a Facebook page, please include a website or google doc with more information.
Your answer
Your Email *
(not to be displayed publicly, but so we can contact you with follow up questions if needed).
Your answer
Your Phone Number *
Your answer
City, State *
This will be used to plot your fight on the map. Please use only *one* location per submission -- but feel free to submit another form with another location if you have multiple chapters.
Your answer
Description *
Please write a short (500 characters max) description about the project you're fighting, where it's proposed, and how you're working to stop it.
Your answer
Sign-up to join *
Please provide a link where people can sign up to join your email list. If you don't have a website or email list, please include webpage or google doc with more information on how to get involved.
Your answer
Email point of contact for media inquiries *
If press wanted to email someone working on this campaign, who should they get in touch with? (Please provide email address)
Your answer
Email point of contact for volunteers *
Who should someone contact to get more involved?
Your answer
I understand that this submission will be reviewed to make sure it fits within the required criteria before going on the map. *
Required
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This form was created inside of 350.org.