COVID-19 Telephone Town Hall Sign-Up
Please fill out this form for our upcoming telephone town hall on Sunday, October 18th at 11:00 am.

My office will use the information you submit to facilitate your participation in the Town Hall by calling the phone number you provide. You also have the option to choose whether or not you allow us to contact you for future Telephone Town Hall calls and/or send you newsletters. In addition, my office will not share, sell, or otherwise disclose information you provide on this form except when disclosure or sharing is required by law, or when you provide consent. Please note the information you submit on this form is also subject to Google’s Privacy Policy, which is available at the bottom of this page.
Email address *
First Name *
Last name *
Phone Number (This number will be automatically called) without hyphens or periods *
Are you interested in receiving automatic Telephone Town Hall calls in the future? *
Would you like to sign up for our newsletter? *
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