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Activity Response
Form
Please let us
know what you planned for Equal Pay Day!
Fill out the form below and fax it to NCPE at 703-979-6372 Attn: M. Leber or mail to:
National
Committee on Pay Equity
c/o AFT
555 New Jersey Avenue NW
Washington, DC 20001-2029
Attn: C. Cordovilla
Contact Name: _________________________________________________________
Organization: __________________________________________________________
Mailing Address: ________________________________________________________
City: ___________________________________ State: __________
Zip Code: _______
Daytime Phone: _____________________
Fax: ___________________________
E-mail: _________________________
What type of activity did you organize? Please describe
(e.g., Lobby Day, Rally at State Capitol, etc.)
______________________________________________________________________
______________________________________________________________________
What other organizations worked
with you?
_________________________________________________
When did the activity take place?
_________________________________________________
Where did the activity take place?
_________________________________________________
How many people were involved?
________________________________________________
Were any public officials invited to speak or participate?
If yes, please describe.
______________________________________________________________________
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