Commit to redistributing your stimulus check!
If you haven't received your stimulus check yet and are in the financial position and still want to commit to donating to the DSA-LA Stimulus Solidarity Campaign (bit.ly/dsa-la-stimulus), please fill-out this form so we can send you a friendly reminder in a few weeks! Thank you! <3
Email address *
Name: *
Your answer
Phone Number:
Your answer
Neighborhood: *
Your answer
How much you want to commit to donate: *
Your answer
Are you a member of DSA-LA? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy