Be a Legislative Contact

Help us help YOU by providing us with any Legislative Contacts that you have. They could be your neighbor, friend, family member or gym buddy! Any connection helps!

Question Title

* 1. About You:

Name: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

Question Title

* 2. Please list the Legislator(s) that you know.

Question Title

* 3. What is the nature of your relationship with the above Legislator(s)?

Question Title

* 4. Would you be willing to help us reach out to the above Legislator(s)?

Question Title

* 5. Is there anything else we should know?