ACWA Coalition to Support Prop 4 Implementation

Please complete the following questions to be added to ACWA's coalition supporting the implementation of Proposition 4 funding this year. If you have any questions regarding this survey, please email Jen Stein at JenS@acwa.com.

Here is a link to the DRAFT letter. We welcome any feedback you may have on the letter, which can be directed to Julia Hall at JuliaH@acwa.com.

Question Title

Agency/Organization Name (Required.)

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Signatory Name (Required.)

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Signatory Title (Required.)

Question Title

Contact information to be added to a distribution list related to the coalition
(For multiple names and emails, please separate with a semicolon) (Required.)

Name(s)

Email(s)

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Agency's/Organization's Logo

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Please check the following box only if

Your agency/organization does not have a logo

ACWA Coalition to Support Prop 4 Implementation

Question Title

* Agency/Organization Name (Required.)

Question Title

* Signatory Name (Required.)

Question Title

* Signatory Title (Required.)

Question Title

* Contact information to be added to a distribution list related to the coalition (For multiple names and emails, please separate with a semicolon) (Required.)

Question Title

* Agency's/Organization's Logo

Question Title

* Please check the following box only if

Agency/Organization Name (Required.)

Signatory Name (Required.)

Signatory Title (Required.)

Contact information to be added to a distribution list related to the coalition
(For multiple names and emails, please separate with a semicolon) (Required.)

Agency's/Organization's Logo

Please check the following box only if