Call Program Request Form

Thank you for choosing Groundswell Communications! In order to complete the production of your calling program, Groundswell requires a few more pieces of information. Please fill out the short form below:

Client Name
Phone
Email
Type of Call
- Automated (robo) Call
- Live Operator
Subject of the call

Please provide us with a short description of your call (GOTV, Voter Identification, Persuasion, etc.).
Caller ID
Enter the 9 digit phone number to be associated with the caller ID. This phone number should be associated with the client.
Launch Date
Launch Time

: HH

MM
Call Time Zone
- EST
- CST
- MST
- PST
Upload Script (Live Calls ONLY)
Accepted file types: doc, docx, pdf.