CV-CAN Resist & Rebuild Organization Signup
We'd love to have your organization attend our summit on May 20, 2017 at Montpelier High School! Setup time will begin at 11 AM. We are requesting $20 from each organization to help cover the costs of the Summit. The event will start at 11:30 AM, and conclude at 4:00 PM. Breakdown will last until 5:00 PM. After you fill out this form, one of our organizers will be in touch to provide more details.
Email address *
Name of Contact *
Your answer
Contact Phone Number *
Your answer
Organization Name *
Your answer
Organization website (if applicable)
Your answer
Your Cause
We advocate for the following cause(s): *
You may select multiple causes.
At the event...
Can you provide your own table? *
Is your organization interested in hosting a breakout session and/or giving a speech during one of the panels? *
Our breakout sessions will focus on educating attendees about ways in which they can take action, what methods work best, and why even one phone call helps make a difference.
A copy of your responses will be emailed to the address you provided.
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