J WALKERS ACTION GROUP PresentsAMPLIFY THIS!

AMPLIFY THIS!

A weekly talking point that we can all share with our friends and family.

First Name*

Last Name*

Email address*

Phone Number

Please do not add a 1. The form does that automatically.

Phone

Zipcode

Affiliation

Are you affiliated with an Activist Group? Please choose your group(s) from the dropdown menu. If your group is not listed, please provide it under "Other" so we can include it in the future.

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Other Affiliation

THANK YOU FOR TAKING ACTION!

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Please encourage your family and friends to join you by sharing the link to this form or our website: www.jwalkersactiongroup.org

Click the "Submit" button below to complete this form.