Sign Up for More Information for PHARE Advocacy Question Title * 1. Name Question Title * 2. Email Question Title * 3. What Organization do you work with? Question Title * 4. Organization Mailing Address Question Title * 5. Check all that apply I am interested in receiving information about the PHARE Raise the Cap Advocacy Campaign I am interested in contacting my legislator about PHARE Question Title * 6. What Counties does your organization serves (check all that apply) Adams Allegheny Armstrong Beaver Bedford Berks Blair Bradford Bucks Butler Cambria Cameron Carbon Centre Chester Clarion Clearfield Clinton Columbia Crawford Cumberland Dauphin Delaware Elk Erie Fayette Forest Franklin Fulton Greene Huntingdon Indiana Jefferson Juniata Lackawanna Lancaster Lawrence Lebanon Lehigh Luzerne Lycoming McKean Mercer Mifflin Monroe Montgomery Montour Northampton Northumberland Perry Philadelphia Pike Potter Schuylkill Snyder Somerset Sullivan Susquehanna Tioga Union Venango Warren Washington Wayne Westmoreland Wyoming York Question Title * 7. I have an existing relationship with one or more legislators. (Please list name of legislator (s) if relevant.) Done