carafem Volunteer Interest Form
Thank you for volunteering to participate in carafem's grassroots social media campaign to spread the word about at-home abortion services. Given the recent Supreme Court decision to overturn Roe v. Wade, spreading the word about at-home abortion pills is more important than ever—and we need your help. 

carafem's at-home abortion pills are available via telehealth in 16 states and shipped discreetly to your home in 1-3 business days of your video visit. To find out more visit: https://carafem.org/at-home-abortion-pills/ 
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Name
*
Email *
Phone number
Organizations you are affiliated with (school, work, volunteer)
Do you live in DC, Maryland, or Virginia *
Do you live in any of the other states where carafem provides at-home abortion pills (Colorado, Connecticut, Delaware, Illinois, Iowa, Maine, Massachusetts, Minnesota, Nevada, New Mexico, New Jersey, Rhode Island, and Vermont) *
How can you volunteer? (check all that apply)
When can you start volunteering?
If you would like to receive a shipment of buttons/stickers, how many would you like to receive? 

Those living in MD, VA, and DC can receive large shipments (500+) to distribute in their communities. 

Those living in other states where carafem provides at-home abortion pils can receive small shipments for social media purposes. 
Shipping Address (Street, City, State) to send materials
How did you find out about us? 
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