Know Your Rights Public Awareness Campaign

Outreach Supplies Form

Please complete this form to let us know how you would like to receive the supplies needed to conduct your outreach. Thanks in advance!

Question Title

* 1. Your Information

Name *

Address

Address 2

City/Town

State/Province *

ZIP/Postal Code

Country

Email Address *

Phone Number

Question Title

* 2. How did you learn about this campaign?

Question Title

* 3. How would you like to receive worker info cards?

Email me the PDF of the worker info cards and I will print them at home

Send me the worker info cards in the mail

I will stop by the Women Employed office located in downtown Chicago to pick up worker info cards

Question Title

* 4. If you'd like the worker info cards mailed to you, please provide your mailing address.

Address *

Address 2 *

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address

Question Title

* 5. If you'd like to print the worker info cards at home or pick them up at Women Employed's office (located in downtown Chicago), please confirm your preferred email address and we will reach out to confirm next steps.

Email Address

Question Title

* 6. How many businesses do you intend to distribute information to?

Question Title

* 7. How many English language worker info cards would you like to receive?

Note: We suggest approx. 5 cards per business in general so that you can talk to multiple people and/or give the person you talk to a few extras.

Question Title

* 8. How many Spanish language worker info cards would you like to receive?

Note: We suggest approx. 5 cards per business in general so that you can talk to multiple people and/or give the person you talk to a few extras.

Know Your Rights Public Awareness Campaign

Outreach Supplies Form

Question Title

* 1. Your Information

Question Title

* 2. How did you learn about this campaign?

Question Title

* 3. How would you like to receive worker info cards?

Question Title

* 4. If you'd like the worker info cards mailed to you, please provide your mailing address.

Question Title

* 5. If you'd like to print the worker info cards at home or pick them up at Women Employed's office (located in downtown Chicago), please confirm your preferred email address and we will reach out to confirm next steps.

Question Title

* 6. How many businesses do you intend to distribute information to?

Question Title

* 7. How many English language worker info cards would you like to receive? Note: We suggest approx. 5 cards per business in general so that you can talk to multiple people and/or give the person you talk to a few extras.

Question Title

* 8. How many Spanish language worker info cards would you like to receive? Note: We suggest approx. 5 cards per business in general so that you can talk to multiple people and/or give the person you talk to a few extras.

* 7. How many English language worker info cards would you like to receive?

Note: We suggest approx. 5 cards per business in general so that you can talk to multiple people and/or give the person you talk to a few extras.

* 8. How many Spanish language worker info cards would you like to receive?

Note: We suggest approx. 5 cards per business in general so that you can talk to multiple people and/or give the person you talk to a few extras.