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    • Campaign Visit Request Form

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    • Name and Contact Information

    • Event Date and Time

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    • Event Location Information

      If possible, the best location for a campaign event is at a vigil site.
    • Event Agenda Information

    • Drag and Drop a file here, or click to Browse for a file
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    • Shipping Information

      We will ship packages of goodies that are aimed at helping you have a successful event.
    • Event Promotion

    • Maximizing Our Time Together

    • Please verify whether any permits are required for your event. The 40 Days for Life headquarters team cannot obtain local permits. The local campaign team must do so.

    • Please agree to all the items under "Event Promotion", so that you can submit the form.

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    • GDPR Consents 
    • You have indicated that you are an EU or EEA resident and are using this form from an EU or EEA location. As of May 25, 2018 the EU has put into effect the General Data Protection Regulation (“GDPR”) which requires that you are clearly informed who is collecting, storing and accessing your personal data (“Controller”); what personal data is being collected; how it is being used; how to access it (“Right of Access”); how to have it removed/deleted/erased (“Right to be Forgotten”; how to get a copy (“Portability); restrict processing; and to object.

      For complete information on the EU GDPR, click: https://www.eugdpr.org

      WHO IS COLLECTING & USING YOUR PERSONAL DATA?
      All personal data provided by you is controlled, collected, stored, accessed and processed/used by 40 Days for Life, a charitable organization located in Texas, U.S.A.

      40 Days for Life only shares your personal data with our trusted partners in furtherance of our Mission to end abortion; and only with your consent.

      WEBSITE: https://40daysforlife.com
      ADDRESS: 4112 East 29th Street, Bryan, TX, 77802, U.S.A
      PHONE: +1-888-LIFE-316

      Click HERE for our PRIVACY STATEMENT.

      WHAT IS PERSONAL DATA?
      Personal data is information that identifies you. 40 Days for Life takes your privacy & security seriously and therefore considers almost all data about you to be personal. Below is a list of the personal data that you will be asked to provide for this application.

      WHERE DOES MY INFORMATION GO?
      All information provided by you will be transferred to, stored and accessed in the United States of America solely for the purpose of furthering our Mission to end abortion.

      YOUR AGE:
      40 Days for Life does not accept or collect information from minors/juveniles. Please check the box below to indicate whether you are at least eighteen (18) years of age, or the age of majority (if higher) in your location:

    • INFORMATION COLLECTED BY THIS FORM:

      Please click the box to the left of each item of information collected if you agree for the information to be collected: *

    • PROCESSING & USE OF DATA :

      Please click the box to the left of each item of information collected if you agree for the information to be collected: *

    • Contacting you via:

    • COOKIES:
      40 Days for Life uses cookies to collect and analyze certain data. For complete information please click: http://www.allaboutcookies.org/

    • ACCESS:
      If you would like to access the personal data that 40 Days for Life maintains about you, click HERE.
      DELETION/ERASURE:
      If you would like to change or delete some or all of the personal data that 40 Days for Life maintains about you, click HERE.
      RETENTION TIME:
      40 Days for Life retains personal data as long as there is an active campaign that is relevant to you; or until you request deletion; or for two years unless you re-consent – a reconsent form will be sent to you when the two year mark is approaching.
      PORTABILITY:
      If you would like a copy of the personal data that 40 Days for Life maintains about you, click HERE. In some cases, there may be a small fee for this service.

    • End - GDPR Consents 

    • Please enter the vigil information:


    • Please enter the full address of the vigil location:

    • Upon submission of this application, the 40 Days for Life headquarters team will review it and contact you with any questions. If there are no questions, you will receive an email message regarding next steps.

      Applications submitted after June 21, 2019 will not be considered.

      Thank you!

    • Applications will be granted or rejected at the sole discretion of 40 Days for Life. Your campaign will be authorized only after you have received a specific confirmation of approval and, if applicable, once you have successfully paid your $197 application fee.

    • Applications will be granted or rejected at the sole discretion of 40 Days for Life. Your campaign will be authorized only after you have received a specific confirmation of approval.

    • You understand and agree that 40 Days for Life has the exclusive authority to approve and/or remove leaders at its sole discretion for any reason that it sees fit. We understand that some such decisions may not be agreed to by the individuals concerned. Nevertheless, you agree to abide by 40 Days for Life's decisions without objection. Once a leader is approved s/he agrees to use all 40 Days for Life information, materials, names and data of all kinds ("information") only for vigil purposes and only through official, approved 40 Days for Life channels. In the rare instance that a leader is removed, that leader hereby agrees, in advance, to return all such information immediately, destroy all copies and cease to use/access such information; and further agrees to cease all leader activity.

      Stay safe, always.

      Try to have at least two vigil participants.

      Never be alone after dark.

      Conduct the vigil in a safe and public or otherwise lawful location.

      If you feel threatened, leave and call the police.

      If your path is blocked call the police.

      If you are touched, call the police.

      If you can safely do so, photograph/film events.

      If the police arrive, be polite and cooperative.

      If you are ordered to leave by competent governmental authority, do so and contact 40 Days for Life headquarters.

      Do not trespass.

      Do not threaten.

      Do not curse.

      Do not block anyone's path/right-of-way.

      Obey all laws.



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