June 18th Financial Assistance Request

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As we mobilize and organize on the road to D.C. the WI Poor People's Campaign wants to ensure, as best we can, that every Wisconsinite who wants to join the Moral March on Washington on June 18th is able to regardless of barriers, financial or otherwise. If you would like to request financial assistance for a bus ticket, please fill out the form below and a member will follow up with you.

Anyone under the age of 18 will need to be accompanied by a parent or guardian.

COVID protocols will be in place - riders must wear a mask at all times and show proof of full vaccination.

First Name *

Last Name *

Email *

Phone

Zip Code *

Have you RSVP'd for June 18th? *

Yes

How much do you think you'll be able to contribute? *

Will you need other support to be able to participate? *

Yes

If so, please provide details here.

I understand and agree to follow COVID protocols including providing proof of full vaccination and wearing a mask at all times. *

Yes

I am 18 years of age or older. *

Yes

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