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Primary Contact Information
Title
First Name
*
Last Name
*
Suffix
Email
*
Phone
*
Zip Code
*
What is the role of the primary contact at this institution/organization?
*
Vot-ER is committed to providing support and resources to help you get out the vote! To do so, we may send periodic text messages. How often would you like to be texted?
*
Vot-ER is committed to providing support and resources to help you get out the vote! To do so, we may send periodic text messages. How often would you like to be texted?
A
I agree to receive essential messages from the Vot-ER team
B
I agree to receive essential messages and occasional messages to help scale my impact
C
I do not wish to receive any text messages from Vot-ER
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