Field Operations After-Action Report

Name *
Name
Mobile Phone *
Mobile Phone
We need to be able to text you!
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.
Your petitions MUST be mailed to GCHQ, PO BOX 1978, HATTIESBURG, MS 39403 in order to get paid! If you hand your signatures to a Field Team Leader or Field Captain, put their name in this field.
Delivery Date *
Delivery Date
The date you sent these petitions at the post office or handed them in.
Your postage cost will be covered in your payment.
$
Petition Status *
Certify and return all signatures ASAP to: GCHQ, PO BOX 1978, Hattiesburg, MS 39403