VRDA Petition Request Form

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VRDA Petition Request Form

Complete this form to request VRDA petitions to be mailed to you.

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* Indicates required question

Email *

Your email

Full Name *

Your answer

Organization (if applicable)

Your answer

Mailing Address (including city, state, zip) *

Your answer

Number of petitions requested (remember each form has room for 8 signatures) *

Your answer

Have you completed a signature gathering training? *

Yes

No

Other:

Do you have any questions?

Your answer

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