November 7th Day of Action Registration
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Local/Chapter Name and/or Number *
First name of lead person for action planning *
Last name of lead person for action planning *
Textable phone number for action planning lead person *
Non-work email for action planning lead person (no .edu addresses, please) *
Employer *
Short description of action (what, when, where, who) *
What support do you need for a successful action?
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