JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Take the Apartheid-Free Pledge
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
We will never share your name with anyone.
Your answer
Email
*
We will never share your email with anyone.
Your answer
I will support the creation of an Apartheid-Free Bay Area
by avoiding Israeli goods and preferring to shop at Apartheid-Free Stores, and encouraging others to do the same.
*
Yes
Are you part of any organizations engaged in Palestine solidarity work?
Your answer
I'm interested in...
Supporting and shopping at Apartheid free stores
Being involved in campaign planning
Receiving email updates on the campaign
Going to canvasses of businesses and other events
Anything else you'd like us to know?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy