JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Stop Insuring Trans Mountain Week Of Action Sign-up
If you are interested in organizing an action in your local community as part of the Stop Insuring Trans Mountain Week of Action from June 14-21, fill this out so we can make sure you have access to art and are invited to an organizing call to meet folks from other cities.
ππ²π ππΆπ»πΈπ
Action toolkit:
https://bit.ly/TMXToolkit
Facebook event:
https://www.facebook.com/events/149140233780214
Action Network page:
https://actionnetwork.org/event_campaigns/stop-insuring-trans-mountain-week-of-action
Add your event to the Action Network map here:
https://actionnetwork.org/events/new?event_campaign_id=13076
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
What city are you planning your action in?
*
Your answer
Are you part of an organizing group? If so, what group?
Your answer
Which insurer(s) of Trans Mountain will you focus on for your action?
Liberty Mutual
AIG
Starr Insurance
Lloyd's of London
WR Berkeley
Stewart Specialty Risk Underwriting
Marsh (Broker)
I don't know - I need help deciding which insurer to target!
Other:
Can organizations which are part of a coalition organizing against Trans Mountain insurance share your photos and videos?
*
Yes
No
If you plan on sharing your action on social media, please let us know which social media handles you will be using.
Your answer
Would you like your action posted publicly on our Action Network map?
We will be driving people to register for actions on the map here:
https://actionnetwork.org/event_campaigns/stop-insuring-trans-mountain-week-of-action
.
Yes!
Maybe?
Nope
Clear selection
What is your phone number! (in case we need to get in touch, we wont add you to any phone call lists)
*
Your answer
What day of the week are you planning your action on?
Monday 6/14
Tuesday 6/15
Wednesday 6/16
Thursday 6/17
Friday 6/18
Saturday 6/19
Sunday 6/20
Monday 6/21
Other:
Clear selection
Anything else you would like to tell us?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Rainforest Action Network.
Report Abuse
Forms