It is time again for our annual REV UP intake form, meant for existing and new REV UP partners to complete. This form takes just a few minutes to fill out and helps us stay up to date with new partners, new contacts at organizations, and growth in REV UP coalitions.

Please make sure to have just one individual from your organization fill complete this form. For coalitions, at least one representative needs to complete this form.

This REV UP intake form is due Friday, November 19, at 5pm EST.

For any questions, contact Lilian Aluri, the REV UP Voting Campaign Coordinator at laluri@aapd.com.

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* 1. First Name

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* 2. Last Name

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* 3. Email

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* 4. Organization or Affiliation

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* 5. Job Title

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* 6. City

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* 7. State

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* 8. Zipcode

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* 9. The REV UP network is committed to expanding our outreach efforts to people with disabilities who are also multiply marginalized. Please let us know if you identify in one of the areas below:

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