New Yorkers for Dance Video survey

1.I want to film a Dance/NYC NEW YORKERS FOR DANCE video:(Required.)

Yes

No

2.Your personal information(Required.)

Name:

Company:

Address:

Address 2:

City/Town:

State:

ZIP:

Email Address:

Phone Number:

3.Your Twitter handle:

4.Your City Council district:
If you don't know your district visit http://council.nyc.gov/html/members/members.shtml (Required.)

5.Your Community Board:
If you don't know your community board visit http://www.nyc.gov/html/cau/html/cb/cb.shtml(Required.)

6.Your State Assembly District:
If you don't know your Assembly district visit http://assembly.state.ny.us/mem/?sh=search(Required.)

7.Your State Senate District:
If you don't know your Senate District visit http://wwww.nysenate.gov/senators(Required.)

8.A sentence or two on why dance matters to your neighborhood (I am a NEW YORKER FOR DANCE because......)(Required.)

9.Any further notes or other comments:

New Yorker Information