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Safe Olympia Request Form
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Your Information
(Required.)
Organization Name
Person Requesting
Address
City
ZIP
Email Address
Phone Number
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By submitting this request I am agreeing to this commitment pledge. I agree to use these decals/signs for their intended purpose by posting them on my premise. I further agree to instruct my organization’s employees to assist the victims and/or witnesses to anti-LGBTQ crimes by calling the police on their behalf and allowing them to remain on my premise until police arrive.
(Required.)
I agree
Current Progress,
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