registrant.2008-01-11.0083542742

by Scott Lu — last modified January 11, 2008 11:46

Name of Organization:

President/Chair of Organization:

Contact person (if different from president/chair):

Email:

Phone Number:

Fax number:

Website:

Address (line 1):

Address (line 2):

City:

State:

Zip code:

Yes, we want to participate in National Take Affirmative Action Day on April 1, 2008! Please send us more info!:
False

Yes, we want a phone consultations/strategy call with staff from national organizations!:
False

Keep us informed about future events and the progress of this campaign!:
False