District 19 Legislative Town Hall
7:30 - 9 pm, Tuesday, April 22, 2020.

Upon submission of this form, you will receive an email with complete information for connecting to the Virtual Town Hall.

PLEASE NOTE:

Only registrants who provide the requested information below will be admitted to the Zoom meeting by the meeting host.

Please be certain to PROOF YOUR EMAIL ADDRESS. If there is a typo in your email address, you will not receive the Zoom Meeting login information.

Thank you!
Email address *
First Name *
Last Name *
Street Address *
City *
State *
Zip Code *
Preferred phone number *
Polling Place - Your Voting Location (optional but strongly desired)
Questions you would like answered during the Town Hall (we will take questions during the event, but it's very helpful to have them in advance):
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