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.
Are you interested in being a state lead?

YesNo
Social Media Handle
T Shirt Size
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Have you signed up for Truth Tellers training series ?(bit.ly/MTAMTruthTellers)

YesNo
Upload your best photo - Introductions are coming soon!

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