Petition signing location or event submission form
Please submit signing locations using this form, advance notice of 3-5 days is preferable. You can use this form for one location at a time or the same location with days that are not consecutive. You can specify duration of signing. If you have more than one, submit another form please. These will be entered on the Recall Whitmer Movement website and/or Facebook page.
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Email *
Location Name *
Street Address *
Please list a physical address - without GPS data people may not find it.
City *
County *
Must list your county, we do not know where all city/twp./villages are located. Entering MI here is not helpful.
Zip Code *
Primary Contact Name *
You will be asked if there is an additional contact - only enter one name please.
Contact Phone Number *
Secondary Contact Name
Secondary Contact Phone Number
Start Date *
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DD
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YYYY
End Date *
MM
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DD
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YYYY
Start Time *
Time
:
End Time *
Time
:
Details *
List days you are collecting signatures at this location, ex: S,M,T,W,T,F,S or  If by Appt. only. List special instructions for ex; If People need to call ahead,
Permission to list contact information for public view? *
Do you have someone committed to being there with petitions and are they trained, and do you agree to stay for the duration of the submission? (must have petitions already) *
Make sure to have required supplies onsite for example: pens, table/chairs, signage (homemade or bought), petitions, etc.
Additional Comments or Important Information
Any Special Instructions or Additional Info
Do you have petitions? *
Please confirm - we do not want to list a location and have people show up and no one is there.
A copy of your responses will be emailed to the address you provided.
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