#ActLocal Partnership Interest
Thank you for your interest in partnering on #ActLocal2017, progressive local gatherings happening in cities across the country around November 11, 2017. Please take 10-15 minutes to answer the following questions so that we can confirm your interest and follow up with you.
Email address *
Your Name
Your answer
Your Organization
Your answer
Your Title
Your answer
Are you a single issue or multi-issue organization?
Issue Areas (select all that apply)
Organization Classification
Year of Organization's Founding
Your answer
What is the geographic reach of your organization?
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