True Blue NY Coalition Application
First Name *
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Last Name *
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Email address *
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Is your group based in just one Senatorial or Assembly district or multiple districts? *
Which Senatorial district(s) is your group based in? (Number(s) only) Look-up here: https://www.nysenate.gov/find-my-senator *
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Which Assembly district(s) is your group based in? (Number(s) only) Look-up here: https://nyassembly.gov/mem/search/ *
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Your Personal Senatorial District, Number Only - Look-up here: https://www.nysenate.gov/find-my-senator *
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Your Personal Assembly District, Number Only - Look-up here: https://nyassembly.gov/mem/search/ *
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I represent a group, organization or political club *
Name of group, organization or political club *
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Group Mission *
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Referred by *
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