Thank you for pledging to participate! This will help us understand the impact of our collective efforts and identify all the ways we can make it easier for you to participate.

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* 1. Please provide your name and email.

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* 2. What is the name of your organization?

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* 3. Do you or your organization have any specific needs for participating in the Collective Day of Action? PFSE will be providing you with a ready-to-go messaging and graphics, but let us know if you have other needs.

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* 4. Do we have your permission to share on our website that you plan to participate alongside other participating organizations? This will help us demonstrate the impact of our collective efforts.

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* 5. Please share any additional comments or suggestions you have for the Day of Action.

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