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*** This ain’t the petition, y’all. You have to sign on paper, in person. But fill this form out, and we’ll make sure you get to sign before it’s too late! ***

Name *
Name
As it appears on your government ID.
Address *
Address
Where you're registered to vote in Mississippi.
Where you're registered to vote.
Mobile Phone *
Mobile Phone
We might text or call you about signing, but we'll always quit if you ask nicely.
Feel free to share your personal testimony. We are building a community of patients and advocates, and we'd love to get to know you better!
How to sign: *
You can only sign for real in person, on paper, in ink. But if you can't find us out and about, we'll be sure to get you a petition!

*** This ain’t the petition, y’all. You have to sign on paper, in person. But fill this form out, and we’ll make sure you get to sign before it’s too late! ***