Candidate/Elected Official Registration
If you are a candidate or elected official who will attend the 2018 Triad Women's March On the Polls, please fill in the following form to be announced at the rally. Your name and office will be announced, but no candidate or elected official will be allowed to speak. The Women's March On the Polls is nonpartisan. ALL candidates and elected officials are invited to participate, regardless of political affiliation. Upon arrival at the Rally, please proceed to the check-in desk next to the stage to confirm your attendance no later than 11:45 AM. If you have any questions, please contact us at wswomensmarch@gmail.com
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Political Affiliation *
Do you currently hold a government office? If yes, please provide details.
Example Responses: U.S. House District 5, NC House District 74, Yadkin County School Board, Lexington City Council, etc.
Your answer
Are you running for office in 2018? If yes, please provide details.
Example Responses: U.S. House District 5, NC House District 74, Winston Salem School Board, etc.
Your answer
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