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