More Than A Month Mobilizers

More Than A Month Mobilizers

Completing this form will help streamline communication & upcoming training opportunities for campaign success. Join the More Than A Month Mobilizer program to defend Black history from attacks and safeguard the future.
Name

First NameLast Name
Unit Name & Number
Example: Southern University Unit#6978
Email
example@example.com
Please select your state
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you interested in being a state lead?
Social Media Handle
T Shirt Size
Address

Street Address

Street Address Line 2

CityState

Zip Code
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