Bill McKibben/Do the Math Tour: Chicago 11/28

If you are interested in attending 350.org's Do the Math Tour on 11/28 in Chicago please fill out the following information.

Question Title

* 1. Be as specific as possible so we can ensure to reserve the correct amount of free tickets for students.

Name

Email / Phone #

School

Student Organization

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* 2. How many students from your student organization plan on attending?

1 to 3 students

3 to 5 students

5 to 10 students

10 to 15 students

15 or more students

Closest estimate?

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* 3. What are the NAMES AND EMAIL ADDRESSES of the students from your school/organization that are requesting tickets? (Required in order to receive your tickets)

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* 4. Will you be fundraising for travel expenses?

Yes

No

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