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Campaign Coordinator Information Form
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Coordinator Contact Information
Unit Name
(Required)
Five Digit OPFAC
(Required)
Name
(Required)
First
Last
Rank/Rate/Grade
(Required)
Email Address
(Required)
Used to communicate with Coordinators throughout the campaign
Email Address
Confirm Email Address
Phone
(Required)
Have you previously served as a CGMA Campaign Coordinator?
Yes
No
Confirm Unit Details
Set your campaign up for success by confirming the following information.
Unit Shipping Address
(Required)
Campaign Materials will be sent via FedEx
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Number of people assigned to your unit
This helps to ensure proper quantities of campaign materials are provided
Comments/Questions
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