Field Operations After Action Report

Name *
Name
Date of signature gathering. *
Date of signature gathering.
The day you went out gathering these signatures.
Total number collected, certified, and returned by you during these hours.
Where did you gather these signatures? What methods did you use? Did you run into any problems? Any issues or insights. Things to continue doing, things to learn from.
Street Address where you got started gathering signatures today.
Which city were you petitioning in today?
Which District did you gather signatures in today?
Your postage cost will be covered in your payment.
$
Mileage is reimbursed only when pre-approved.
Petition Status *
Certify and return all signatures ASAP to: GCHQ, PO BOX 1978, Hattiesburg, MS 39403
Did you turn in your signatures or mail them in?