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Form for street outreach/door knocking

 

  • Basic info

  • Please do not enter a dummy entry like 'noemail@gmail.com'. Please enter phone number if member doesn't have an email address.
  • Further info

  • We need this to send you a membership pack!
    Give details in the box below. If this person is signing up as a member, someone will try to give them a call to share basic renters rights info and invite them to a meeting.
  • Notes for person filling out this form

  • If you think we should follow up with this person about the housing issues they're facing, please give details about the issue they're facing
  • What would they like to change about the housing system?
    If this person lives outside your borough/branch area but you want them to get updates and calls from your branch, tick one of the boxes below
  • This field is for validation purposes and should be left unchanged.