Share contact info with Quaker Voice
Interested in receiving more information about the Quaker Voice of Maryland group or being an active member? Please fill out our interest form so we can keep you in the loop with our work.
* Required
Contact information
Share your name and the best way to contact with you; an email address is helpful.
Full name:
*
Your answer
Email address:
*
Your answer
Phone number:
Your answer
Name of the Quaker Meeting you are associated with:
If you are not associated with a Quaker just leave this blank.
Your answer
Home address
As we put together a list of Quakers who want to get involved in legislative work it is important that we are able to know what districts you live in so we can contact you about issues in your area. This is why we request you share your home address.
Street address (EX: 123 Main Street):
Your answer
City:
Your answer
Zip code:
Your answer
Involvement interest
What is your interest in the Quaker Voices of Maryland?
*
A. I am interested in receiving regular updates and action items from Quaker Voice.
B. I am interested in being a liaison between Quaker Voice and my home Meeting.
C. I am interested in learning more about becoming a member of the organizing group.
Other:
Required
Please share a particular subject area or skill you may be able to offer to this program:
Your answer
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