Request for LWVAF to Set Up Voter Registration Drive
Complete Name of Person Responding to Survey
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Organization Name Requesting Voter Registration Drive
Date(s) and Time(s) You Are Requesting Voter Registration Drive
Proposed Location of Voter Registration Drive
Name of Person Who will Work with LWVAF on Voter Registration Drive Logistics
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E-mail address for Person Who will Work with LWVAF on Voter Registration Logistics
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Cell Telephone Number for Person Who will Work with LWVAF on Voter Registration Logistics
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Alternate Telephone Number
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Is there any additional information that you believe LWVAF needs to enable us to asist with the voter registration drive. (Please note that LWVAF does not guarantee that LWVAF will be able to accommodate any special requests.)
Submit
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