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

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 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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