Wufoo

Name * First Last
Title *
Email *
Your Contact Phone Number * ### - ### - ####
Office Phone Number * ### - ### - ####
Office Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Are you with a local (including Guild and sector locals) or a campaign? *
Local Campaign
What sector is this associated with? *
CWA Local Number *
CWA Local Number *
What should this group be called? This should be either your local number or what your members will know your group as. *
Email address where responses from your members should go *
Website
Does your local/campaign use social media? *
Yes No
Facebook URL
Twitter (X) URL
Instagram URL
TikTok URL
Would you like to have the members from your local who are on our main emailing list added to your list, or would you rather use your own? Please note that the email addresses will not be a full list and we recommend uploading your full list even if we pull this list. *
Yes, please import my list. No, I only want to use the list we have.
If you have a logo that you would like to use at the top of your emails, please provide it below.
Action Network offers an affordable texting program in addition to the free email services provided for CWA Affiliates. The texting program is not free. Are you interested in receiving more information about setting your group up to text using Action Network? *
Yes, please contact me with more information. No, we are not interested at this time.
Group Administrators

At least one group administrator is required. You may enter up to 3 here and for any additional, please leave a question or comment below.
Group Administrator 1 * First Last
Group Administrator 1 Email *
Group Administrator 2 First Last
Group Administrator 2 Email
Group Administrator 3 First Last
Group Administrator 3 Email
Additional questions or comments
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Wufoo

Group Administrators