Clean Energy Lobby Day
WHEN: Wednesday, March 4, 2020
WHERE: Illinois State Capitol Building, Springfield IL

WHAT: Lobby day to support the Clean Energy Jobs Act, which will get Illinois to 100% renewable energy

E-mail paloma@ilenviro.org if you have questions prior to filling out this form.

After filling out your information, if you choose "Take a bus" you'll be taken to the list of bus pick up locations. 2020 Lobby day bus stops include several stops in Chicago, Bloomington, Carbondale, Crystal Lake, East St. Louis, Hamel, Joliet, Libertyville, Naperville, Oak Park, Palos Park, Peoria, Rockford, Schaumburg, and Urbana!
Email address *
First Name *
Your answer
Last Name *
Your answer
Home Street Address *
This information will be used to identify your state legislators, so please provide your HOME address. We will not share your address. Please note that P.O. Boxes do not have associated legislators.
Your answer
City *
Your answer
State House Representative
Use this link to lookup your state legislators: https://elections.il.gov/ElectionOperations/DistrictLocator/AddressFinder.aspx Your State Representative should be the third listed, with the heading "Representative District #"
Your answer
State Senator
Use this link to lookup your state legislators: https://elections.il.gov/ElectionOperations/DistrictLocator/AddressFinder.aspx Your State Senator should be the second listed, with the heading "Senate District #"
Your answer
Cell Phone Number *
Your phone number and e-mail address will be given to your bus captain and lobby team leader for logistical and coordination purposes only. We will not share any of your data for any other purpose.
Your answer
Referring Organization
Are you a supporter of a lobby day host organization? If so, let us know
How will you be travelling to Springfield on March 4th? *
Host organizations will be providing bus transportation
Next
Never submit passwords through Google Forms.
This form was created inside of Illinois Environmental Council. Report Abuse