Online Support Statement - The State of Jefferson
The State of California is ungovernable in its present size.


(* Southern Oregon  residents - Please feel free to sign this support statement so we can gauge support for those counties as well.)
Sign in to Google to save your progress. Learn more
Your Name *
County *
Zip Code *
Email Address *
Phone Number (optional)
Would you like to receive email updates about the movement ?
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