#MiddleGAVotes Participating Organization Pledge
To increase civic engagement in middle Georgia, the campaign #MiddleGAVotes is dedicated to inspiring others to further voter access and dissemination of accurate, nonpartisan civic information.

The goal of #MiddleGAVotes is to contribute to a better informed and more engaged population inspired to go to the polls.

This initiative is led by Georgia Women (And Those Who Stand With Us), a social welfare organization whose purpose is to raise a common voice about issues important to women and to our country, and by Mile 22 Associates, a company dedicated to building a better democracy for all. These organizations share the goal of inspiring fellow Georgians to exercise the power entrusted to each citizen to vote.

Organization Name: *
Your answer
In joining the team to build a better democracy, the organization I representing pledges to: *
Required
Point of contact in your organization for content delivery: *
Your answer
Point of contact email: *
Your answer
Organization Representative e-Signature: *
Your answer
I understand that checking this box constitutes a signature confirming that I acknowledge and agree to the above checked conditions and to be listed as a partner in #MiddleGAVotes *
Required
Approximate number of people reached through your network:
Your answer
What is the best format for your organization? If unknown, this information will be obtained from your point of contact.
Submit
Never submit passwords through Google Forms.
This form was created inside of Mile 22 Associates. Report Abuse - Terms of Service