[contact-field label='First Name / Last Name' type='name' required='1'/][contact-field label='Supporter' type='select' required='1' options='Individual,Organization'/][contact-field label='Name of Organization' type='url'/][contact-field label='Phone No.' type='text'/][contact-field label='Email' type='text'/][contact-field label='Country' type='select' options='Algeria,Argentina,Australia,Barbados,Belgium,Benin,Brazil,Côte d%26#039;Ivoire,Cameroon,Canada,China,Finland,France,Gambia,Germany,Ghana,Indonesia,Kenya,Liberia,Malawi,Malaysia,Mali,Namibia,Netherlands,Nigeria,Poland,Qatar,Russia,Saudi Arabia,Sierra Leone,Singapore,South Africa,Spain,Tanzania,Togo,United Arab Emirates,United Kingdom,United States of America,Zambia,Zimbabwe'/][contact-field label='State of Residence' type='select' required='1' options='Abia,Adamawa,Akwa Ibom,Anambra,Bauchi,Bayelsa,Benue,Borno,Cross River,Delta,Ebonyi,Edo,Ekiti,Enugu,Federal Capital,Imo,Jigawa,Gombe,Kogi,Kaduna,Kano,Katsina,Kebbi,Kwara,Lagos,Nassarawa,Niger,Ogun,Ondo,Osun,Oyo,Rivers,Sokoto,Taraba,Yobe,Zamfara,'/][contact-field label='Area(s) of Interest' type='radio' options='Supporting causes and engaging others through EiE’s social media platforms,Participating in protests,Signing petitions,Exercising your right to RSVP,Staying involved in your communityEiE supports issues of interest/ concern to members'/][contact-field label='Volunteering?' type='radio' options='Yes,No'/][/contact-form] Interested in Volunteering? See available options