ORMA RC Request: Part 1
Use this form to request a place on the ORMA Representative Council for your affiliate or caucus..

When you submit the form, you will see a link to a second form for the Coordinating Committee: https://goo.gl/oC6i6E.

If you are an affiliate, FAST will contact you to help you complete the following tasks:

1. Complete a 3-way MOU with ORMA and OR (and finalize your group boundaries)
2. Complete a Data Access Agreement (DAA) so you can receive contact information from ORMA
3. Copy our Member Data Template https://goo.gl/p8EWR7 to submit your current leadership and membership list to: cc@ourrevolutionma.com.

Thank you, and Welcome to the Representative Council!

Email address *
Org Name *
Your answer
Org Type *
Rep Name *
Your answer
Rep Phone *
Your answer
Catchment Area
If an affiliate, which Zip Codes do you exclusively cover (no overlaps)?
Your answer
Questions or Comments
Your answer
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