Safe Communities Act Endorsers & Coalition Members
PLEASE FILL THIS OUT EVEN IF YOU'RE ALREADY A COALITION MEMBER OR ENDORSING ORGANIZATION! As the 2019-2020 campaign kicks into high gear, we need to make sure we have up-to-date contact information and also identify the best ways to engage each organization in our work across the state.
Do you want to be part of the Coalition and/or formally endorse the SCA? *
We welcome and appreciate both levels of commitment! Coalition members agree to sustained engagement in the campaign, including attending regular meetings and actively participating in Coalition activities throughout the legislative session. Endorsing organizations make a more limited commitment. Endorsing means we may use your organization's name in our materials, and you commit to forwarding our updates and action alerts to your members, if appropriate.
Name of Organization or Group *
Your answer
Name of Primary Contact *
Your answer
Title or Role
Your answer
Contact Phone Number *
Your answer
Contact Email *
Your answer
In what region(s) are you active? *
Please check all that apply.
Required
Are you based in a specific city/town? If so, where?
Your answer
Do you know your state legislators?
If so, who are they? Do you have a relationship with them?
Your answer
How can your organization contribute to the campaign? *
Please select all that apply. FYI, we have a growing toolkit of handouts, templates, etc. to help advocates across Mass.
Required
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