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#ZeroTrafficDeaths Resolution
Thank you for your interest in helping build support for the #ZeroTrafficDeaths resolution in Congress! Please complete the information below and we will be in touch!
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Name *
Affiliation (please specify organizational affiliation if applicable).
Email *
Phone *
Address: Street, City, State Zip Code
Congress (please list your US Senators and Congressional Rep if known)
Did you contact your elected officials to support the resolution (call or email sent)?
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If so, please specify who you called and the outcome (e.g., spoke with the Legislative Director, left a message, they seemed interested so I sent a follow-up email, etc.)
Are you interested in scheduling a meeting with your elected official(s)?
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Have you participated in any meetings with elected officials previously on street safety?
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Were you personally impacted in a crash?
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If you were personally impacted, please share basic crash information (location, date, and if relevant, the name/relation of loved one)
Anything else you would like to share?
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