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Peace in Ukraine: January Weeks of Action Event Sign-up
Please fill out this form to list your event for the Peace in Ukraine Coalition's Upcoming Weeks of Action from January 13-27, 2023
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Would you like your name and email published for the event?
*
Yes
No
Other:
Phone number
*
Your answer
Country
*
Your answer
Zip Code
Your answer
Organization, if applicable
Your answer
Organizational sponsors
Your answer
Location of Event
Your answer
Parking Information
Your answer
Date of Event
MM
/
DD
/
YYYY
Event Time and TIME ZONE (so we can list it accurately)
*
Your answer
Event Duration (length of time)
*
Your answer
Event Description: Is it a meeting with a congress person's office? A protest? A street vigil?
Your answer
Event page link (Facebook or otherwise) if you have one
Your answer
Rather than hosting an event, would you prefer to attend an event in your congressional district or state?
Yes
No
Clear selection
If yes, would you like to share your name and email with the host of the event?
Yes
No
Clear selection
Anything else you want us to know?
*
Your answer
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