ReImagine Appalachia Grassroots Community Member Local Government Outreach Form

Yes! I want to get my local government on board deepen federal investment in my community!

I know this moment provides a once in a lifetime opportunity to fund an ambitious Appalachian Climate Infrastructure Program to bring us into the 21st Century and create a model economy that is good for workers, communities, environment, and health.
First Name *
Last Name *
Affiliated Group or Organization, if applicable
Position in Group or Organization, if applicable
Email *
Street Address (ex. 123 Main Street)
Town/Village/City *
County *
Zip *
Phone number
Are you interested in a Community Coaching session to learn how to get your officials on board?
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Federal Congressperson First and Last Name, if known
Feel free to submit any further comments.
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