Host A Petition Signing Station - Stop Solitary, Pass Breonna's Law
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I am a: *
First Name *
Last Name *
Address *
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If you only want people coming during specific hours - what are the hours?
Phone *
Email *
Can you pick up materials or would you like them dropped off? *
If picking up - when can you come to 841 California Ave 15212?
Do you have a table you can put on your porch?
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Which of the following would you like?
Is your location ADA-accessible? (i.e - don't need to go up stairs)
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Please confirm whether we can post this address publicly:
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Anything else we should know?
We will pick up your materials weekly - when is a good time? (You will simply have to leave your materials on the porch, you don't need to be there)
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