ARJC Interest Form

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ARJC Interest Form

Thank you for your interest in the Athens Reproductive Justice Collective! Filling out this Google form will signify your acceptance to membership, but you are free to discontinue your membership at any point in time with prior notice.

What is the name of your organization? *

Our organization agrees to... *

Designate a representative to share your organization’s vision and help with the collective’s work

Have said representative attend a monthly meeting with all other members of the collective

Engage, participate and be willing to have a collaborative mindset

Required

What is your designated representative's name? *

What is your designated representative's email address? *

What is your designated representative's phone number? *

Optional question: Is there anything we can be doing for you in regards to the collective's work?

Optional: Use this space to share any ideas/thoughts/questions/concerns regarding your membership or AJRC's objectives.

I acknowledge that by filling out this form I am interested in working with the Athens Reproductive Justice Collective. *

Yes! (We look forward to working with y'all!)

Required

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