VAN Access & Support Request form for MoCo Precinct Leaders
Dear Montgomery County Precinct Officials,

Please use this form if you are in the precinct organization and have a VAN-related request. We will strive to resolve your request within 7 days. Filling out the information as completely as possible will assist us in handling your request promptly, especially as we work to ensure that every precinct has access to VAN.

For questions related to VAN, please contact Co-Chair of Precinct Organization Committee, Shruti Bhatnagar at <shruti_bhatnagar@yahoo.com>

Thanks!
Email *
Request *
First Name *
Last Name *
Your preferred phone number (for contact)
Your role in the Precinct Organization *
My Precinct Number / Polling Site Name
Select Your Dist *
Do you need VAN training / Have any experience using VAN? *
Required
List below any specific questions you may have about NGP VAN, its features and what you want to specifically learn about or need help with, if you are experiencing any challenges using VAN.
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