#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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