Wake Dems Voting Pledge

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Wake Dems Voting Pledge

Thank you for taking our Voting Pledge! The information you share here will help us focus our organizing efforts as we work to flip North Carolina Blue.

And unless you opt-in to additional communications, we'll only reach out to share important reminders when it's time to vote.

The form takes around 2 minutes to complete.

Email *

First Name *

Please list your first name as it appears on your voter registration.

Last Name *

Please list your last name as it appears on your voter registration.

Full Preferred Name *

Phone Number *

We'll only use this information to follow up on a response you provide in this form. We don't sell or share data.

Street Address *

Please list the street address where you are registered to vote. We'll use this to look up your sample ballot.

Zip Code *

How did you hear about our Voting Pledge? *

Please select at least 1 option and all others that may apply. If you do not see an applicable option, please select "other" and let us know how you found our voting pledge.

Google search

Facebook

Instagram

Twitter/X

TikTok

Email from Wake Dems

Someone left information on my door

Received information in the mail

Talked with a volunteer at a Wake Dems table/booth

Talked with a Wake Dems volunteer who knocked on my door

Talked with a Wake Dems volunteer who called me (or left a voicemail)

Talked with a Wake Dems volunteer when I was voting

Other:

Clear form

Never submit passwords through Google Forms.

This form was created inside of wakedems.org.

Does this form look suspicious? Report

Forms