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FIELD AGENT SURVEY
To better help us thank you AND the businesses who help GOC, please let us know the following:
Businesses
Business Name
Name
First
Last
Email
Phone
Website
If you are the sole business that keeps our newsletters on your counter, how many employees do you have?
Please check the box of the materials you would like in addition to our Quarterly Newsletter:
Brochures
Coupons/Announcements
Legislative & Legal Alerts
How many shirts and sizes can we send to you and your staff?
Distributors
Name
First
Last
Email
Phone
If you distribute our newsletters to various businesses, how many business do you deliver the GOC Quarterly Newsletter to?:
How many employees are at each business (estimate)?
What type of businesses do you primarily visit?
Select All
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Ranges
Other
Please check the box of the materials you would also be able to deliver:
Select All
Brochures
Coupons/Announcements
Legislative & Legal Alerts
Would you be interested in representing GOC at local gun shows and other pro-2A events?
Yes
No
We want to send you (our Field Agent) a GOC t-shirt with your next package!
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Small
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XX Large
XXX Large
Please select size.
Is there any way GOC can better equip you to distribute our materials and to help spread the word about the work we are doing to preserve and protect the Second Amendment in California? Please answer below:
Email
This field is for validation purposes and should be left unchanged.
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J.K. Benson
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