Participation Form - NATIONAL RALLY JUNE 26th, 2012
Please help us determine how many people and organizations participate by completing this form.  All information provided will be kept private.

Violence Against Women Act - NATIONAL RALLY on JUNE 26th, 2012 @ U.S. Capitol, at 1st Street & Constitution Ave. from 11:30 a.m. - 1:30 p.m.
Stand up! Speak out!  Join the hundreds and be part of 10 Days of Action across the United States to reauthorize the REAL VAWA.

If you are also holding local events in your community, please help us by completing the local community action form at the link below.
Register Your Event: http://tinyurl.com/8xepw7o
View a Map of Events Across the Country: http://tinyurl.com/88ojxro
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Your Name *
Email *
Organization *
The organization you are registering.
Number of People Participating *
Please provide these as numbers, ex: 8
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