RWRF Voter Registration Request
A request to partner with RWRF. We will send a trained (NON PARTISIAN) Community Canvasser to your event / organization.
Today Date
-
Month
-
Day
Year
Date
Name of Event / Business / Organization*
*
County :
*
Escambia
Santa Rosa
Okaloosa
Leon
Gadsden
Other
All
Please select the county of VR collection site.
Location Type:
*
HOT SPOT - Retail stores, food trucks, food drives etc.
EVENT
HIGH SCHOOL
COLLEGE / UNIVERSITY
CORRECTIONS FACILITY
UNHOUSED SHELTER OR SERVICE
NATURALIZATION CEREMONY
NURSING HOME
APPARTMENT COMPLEX
Please select the type of VR collection site.
Address of event /site:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Point of Contact for event or site:
*
First Name
Last Name
Point of Contact Phone Number:
*
-
Area Code
Phone Number
Point of Contact Email
example@example.com
Date of event / Start date if regular site
*
-
Month
-
Day
Year
Date
Days & times of set up (For repeat sites)
Canvasser set up & break down time? (Events)
Is the event / site inside or out?
*
Inside
Outside
Both
Number of Canvasser needed
*
Please Select
1
2
3
4
5
Upload Press Release, Flyer or Picture
Is there a vendor fee? If yes, how much, What's the method of payment? When is it due?
*
Submit
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