Contact Info
Please note that we cannot guarantee the security of submitted information. While we maintain robust security practices, we cannot guaranty that the cloud provider where this data is stored (Google) is not compromised and\or cooperating with government surveillance. We hereby pledge to not intentionally distribute this data to any third parties.
Sign in to Google to save your progress. Learn more
Please Enter Your Name: *
Please Enter Your Email Address: *
Please Enter Your Phone Number (if you wish to share):
Are you interested in participating in future meetings? *
What issues/concerns/interests are you interested in working on?
Are there are any activist/organizations that you are involved in or think this collective should be coordinating with?
Do you have access to a space that could host a working group or general meeting? If so, how many people could it hold? *
Do you have any special skills that you think would be valuable to the collective? (Optional)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy