2021 WDVC Postcard Survey The Wisconsin Disability Vote Coalition (WDVC) is a non-partisan effort to increase participation in the electoral process of voters with disabilities, including registering to vote, casting a vote, and accessing polling places. We invite you to help increase participation of voters with disabilities. Complete this survey to receive free Disability Vote Coalition postcards to share at community events, include on your resource table, distribute to clients, or send to your mailing list. The postcards include dates for the 2021 elections, information about voter registration and Photo ID requirements, and where to call for help. You are also invited to be listed as a “supporting member” of the Wisconsin Disability Vote Coalition. We would be honored to list you as a supporter.The WDVC is coordinated by Disability Rights Wisconsin and the Wisconsin Board for People with Developmental Disabilities. Questions? Contact us at info@disabilityvote.org. Question Title * 1. Your Name Question Title * 2. Your Phone Number Question Title * 3. Your Email Address Question Title * 4. Organization requesting postcards Question Title * 5. Number of English Disability Vote Coalition postcards requested 25 50 100 150 200 Other (please specify): Question Title * 6. Number of Spanish Disability Vote Coalition postcards requested 25 50 100 150 200 Other (please specify): Question Title * 7. Address to send postcards Attention: Organization Address 1 Address 2 City/Town State -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP Code Question Title * 8. Please list my organization as a supporting member of the Wisconsin Disability Vote Coalition Yes No Contact me to follow up Question Title * 9. Please add me to the Disability Vote Coalition email list to receive information about voting resources and events. Yes No Question Title * 10. Comments or Questions? Thank You! Done
