I would like to register for a two-hour volunteer training course for the “Everybody Needs a Proxy” campaign.

My preferred times would be: morning afternoon evening

My preferred day of the week for doing this training would be

Name

Affiliation (if any)

Street Address

City State ZIP

Tel.

Email

There is no charge for the training sessions but volunteers are asked to commit to a training session, and to volunteer at least once for the Everybody Needs a Proxy campaign.