Share Your Story
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Email *
Your First Name *
Your Last Name *
Your Pronouns *
What State Do You Live In? *
Share Your Story: Please tell us a little about your personal experience(s) and why federal non-discrimination protections matter to you. *
Optional Questions
Your Phone Number (If you prefer that we contact you by phone rather than email, please include the best number)
How Do You Describe Your Gender And Gender Identity?
How Do You Describe Your Sexual Orientation?
How Do you Describe Your Race And Ethnicity?
A copy of your responses will be emailed to the address you provided.
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