Keep Gas in the Ground Data Entry Form
Use this form to enter information from Keep Gas in the Ground Paper Petitions gathered in the field.
Event Information
Event type
door
street
event / table
other
Date of event/canvass
Event Tag
Optional
Name
First Name
Last Name
Email
Email
Address
Street address
format: 2B-123 Main St
City
name only
x
Postal Code / ZIP
6 CHARACTERS MAX, NO SPACES, CAPITALIZE
Province / State
Phone
Phone #
10 digits only ##########
Mobile #
If mobile box checked, put here. If don't know, put in phone field
Engagement
Willing to volunteer?
Yes
Registered voter?
Yes
Hidden fields
Contact Information