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Florida Peace & Justice Alliance
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Intake form
Help us serve you better
Name
*
Email address
*
Tell us what your are interested in
Please select at least one option.
Peace Activities
Social Justice
Environmental - Climate Emergency
Demonstrations/Direct Action
Grassroots lobbying
Volunteer Opportunities
How did you hear about us?
Select
Social Media
Friend or Family
Website
Event
What age group do you belong to?
Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 and above
Please describe your current situation or need.
What is your preferred method of communication?
Please select at least one option.
Email
Phone
In-Person
Virtual Meeting
Additional questions or comments
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