Request our services - Chippewa Valley Votes
Would you like to have voter registration and assistance at your event, business, or facility? Would you like someone to come speak to your club or group about voting?

We can send a fully staffed voter registration booth to your location. Our knowledgeable and non-partisan volunteers are ready to work with you. We have tables, literature, tablets, clipboards, laptops, and a printer. Use this form to provide us information about how you would like to work with us.

For more information about Chippewa Valley Votes, visit our website at: http://www.chippewavalleyvotes.org

What type of service are you requesting?
What is your organization's name?
Your answer
What is the mission of your organization?
Your answer
What type of organization?
What is your organization's website?
Your answer
Where is your location?
Your answer
What is the street address of your location?
Your answer
Is the location indoor or outdoor?
Does your location have a wifi connection?
Is this a recurring or one-time request?
Can you provide tables? If yes, how many?
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