Coffee on Your Corner with Senator Villivalam
Date: Saturday, July 24
Time: 10-11:30AM
Location:  Kappy's American Grill

Join State Senator Villivalam for casual coffee and conversation, updates from Springfield, and constituent services. This event will be open house style, so drop by whenever you can!
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Will you attend the Coffee on Your Corner? *
Zip Code *
Phone number *
Do you have any questions for Senator Villivalam?
Do you have any accessibility needs?
What are your preferred pronouns?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of senatorram.com.

Does this form look suspicious? Report

Google Forms