States Outreach Interest Survey
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Email *
We would like to share your email address with other members from your state. Do we have your permission to share your contact information in a follow-up email?
Clear selection
Country in which you currently live
State in which you vote
Other states to which you have ties or want to help support...
Would you be interested in targeting specific Congressional Districts?
Clear selection
If yes, do you have a preferential District?
What areas are you most interested in helping to improve?
How familiar are you with state issues?
Not at all
Clear selection
If you are currently involved with DA, what is your role?
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