Request edit access
5/31/22 Call to Support NY Protect Our Ballots Act
No information will be publicly displayed. This is so that we can remind you to call. We respect your privacy. We will not publish, sell or give away your email or phone number.
It's urgent that we call NY Elected Officials. We are on the cusp of passing this critically important bill to protect voters and we need a final push. There are only three days left in the session. On Monday 5/31/22 please make 3 quick calls: Speaker Carl Heastie 518-455-3791 // NY Chair of Election Law Latrice Walker 518-455-4466 //Gov Hochul 518-474-8390 (Select 3, 1))
Clear selection
Name *
First name, Last name
Email *
Group you work with (if you have one)
Do you want email or text reminder?
Clear selection
Phone Number (if you prefer text reminder) (000) 000-0000
County
State
Zip Code
What Time Between 9am - 4:45pm ET Do You Want to  Make Your Calls to the NY Assembly? (We will remind you).
You can forward this form to others with this link: Tinyurl.com/FormForA1115C. Will you please get at least 1 more friend to call? Thank you!
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms