Abrir un nuevo Ticket

Por favor, complete el siguiente formulario para crear un nuevo ticket.

Contact Information
Email Address *
Full Name *
Phone Number EXT:
Voter Precinct
Temas de ayuda
*
VAN Request
Do you already have an ActionID that is different from the email address provided above? *
ActionID Email
Access Level * What level of access do you require?
Field Organizers Only : Access Area Please give a list of districts or precincts that you are requesting access to
Field Organizers Only : Purpose Please give a brief description of the purpose for which you require this access. Note: Any requests for access above "Precinct Chair/Coordinator" requires special authorization by the County Chair and may take additional time to complete.
Access Is Revocable * I understand that access to VAN is a revocable privilege and is granted solely at the discretion of the BCDP Chair and NGP VAN. Your access to VAN / Vote Builder / Virtual Phone Bank and any associated tools may be suspended or permanently revoked from a user without prior notice.
Acceptable Use * I agree to use VAN and the data contained within only for purposes authorized by the BCDP.
Terms of Service * I have read, understand, and will abide by the NGP VAN Terms of Service agreement.