Rep Your Red Ambassador Sign-Up Form
Rep Your Red is a media campaign with the purpose of working to debunk the stigma that exists around HIV. We have been around for the past 4 years and we have reached people in over 20 states.

This year, we are looking for Rep Your Red Ambassadors to partner with us and expand our reach and impact. As an ambassador, we are asking you to:

- Make a pledge to debunk HIV stigma
- Commit to finding at least ten people in your community to also take the pledge  
- Support the  Red Your Red campaign initiatives by sharing, liking, and posting on your personal media platforms
- Invite your friends, family, and colleagues to participate
- Attend Red Your Red Ambassador informational session (Date TBD)

If you're interested in becoming an Ambassador, please accurately complete this form and we will be in touch with next steps. If you have any questions, please contact Corey The Advocate at: advocategalore@gmail.com 

* All Rep Your Red Ambassadors will have opportunities to be entered into raffles to win various prizes.
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Full Name & Pronouns *
Email address *
Phone Number *
City & State where you currently reside *
How did you hear about the Rep Your Red Campaign? *
How many pledges are you committing to get to "debunk stigma around HIV" and sign a pledge? *
Are you connected to any organizations that you think would want to partner with us in this work? If so, please provide the name of the organization and any contact information you may have. *
Are you willing to follow Rep Your Red on Facebook? *
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