18MR Member Interest Form

18MR Member Interest Form
Welcome! Thanks so much for your interest in joining 18MR's Membership.

Please complete this form so an organizer can follow up with you! This is a vetted process to get a deeper understanding of who is joining our channels so we can better serve local and national needs. We're so excited to build deeper with you!

If you have questions or concerns, please feel free to reach out to us at info@18millionrising.org.
Name

First NameLast Name
Email
example@example.com
Zip Code
Phone Number
Please enter a valid phone number.
Age

Gen Z (b. 1996 - 2012)Millennial (b. 1981 - 1996)Gen X (b. 1965 - 1980)Baby Boomers (b. 1946 - 1964)Other
Other Organizational Affiliation(s)
Text "JOIN18MR" to 51905 to join 18MR's text subscription.
Should be Empty: