El Cerrito Progressives Inquiry Form
Please fill out this form in order to inform the ECP about your level of interest with our civic engagement organization
Email address *
Date *
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DD
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YYYY
First Name *
Your answer
Last Name *
Your answer
I would like to work with El Cerrito Progressives on this issue: *
Required
I can help with the following *
Required
What resources do you have that can help this effort?
Your answer
Your email *
Your answer
Your phone number for texting *
Your answer
Please select one option below: *
Final ideas/suggestions/comments
Your answer
Thank You!
A copy of your responses will be emailed to the address you provided.
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