Philipstown Community Congress Ballot 2017
Philipstown residents: Vote for your top 3 priorities among the initiatives proposed by your neighbors to promote and preserve a strong community.

Over three forums this summer, Philipstown residents came together and proposed 40 ideas for community action. Please read the summaries of these proposals online at ecologicalcitizens.org/pccproposals. Indicate your top three priorities for community action by choosing from the dropdown menu and verify your residency in Philipstown by completing your name and street address.

This form will close on October 31, 2017.

Thank you for your participation.

Top priority for community action (please select from the dropdown menu)
Second priority for community action (please select from the dropdown menu)
Third priority for community action (please select from the dropdown menu)
First and last name (Names are collected for residency verification purposes only. If the PCC can not verify you as a Philipstown resident, your vote may not count.)
Your answer
Are you 13 years or older?
What is your street address? (Address is collected for residency verification purposes only. If the PCC can not verify you as a Philipstown resident, your vote may not count.)
Your answer
What town/village do you live in?
Please enter your email address or telephone number if you'd like to stay in touch or find out how you can work on the issues you voted for. (optional)
Your answer
Thank you for your participation.
Your participation in this ballot is voluntary. Residents of zip codes 10524 and 10516 age 13 and older are eligible to vote. One vote per person, please. If you mail or submit a paper ballot at a ballot location there is no need to fill out this duplicate online ballot. Your name and address are collected for residency verification purposes only. Data will only be used and presented in the aggregate.
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