Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
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.
* Indicates required question
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))
You can say, “Time is running out. Pass A1115C today.” or whatever feels right for you.
More info is here: Tinyurl.com/CallForA1115C
Please fill out a few quick options below so we can remind you to call. Thank you!
Clear selection
Name
*
First name, Last name
Your answer
Email
*
Your answer
Group you work with (if you have one)
Your answer
Do you want email or text reminder?
Email
Text
Clear selection
Phone Number (if you prefer text reminder) (000) 000-0000
Your answer
County
Your answer
State
Your answer
Zip Code
Your answer
What Time Between 9am - 4:45pm ET Do You Want to Make Your Calls to the NY Assembly? (We will remind you).
Your answer
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!
Yes.
Too busy to forward, but I will make my calls!
Clear selection
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Forms
