National Homeless and Low Income Voter Registration Week event form
Please fill out this form to help the National Coalition for the Homeless record events during National Homeless and Low-Income Voter Registration Week, September 25- October 1, 2016.
Group Name
Your answer
Activities planned for Voter Registration Week
Your answer
When will your event/activity be held?
Your answer
Expected Registrants
Your answer
Location of planned events
Please provide a street address, or full description (212 Central Ave. or Central Park)
Your answer
Group Location
Your answer
Contact Name
Your answer
Contact Phone #
Your answer
Contact Email Address
Your answer
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