Fair Districts Speaker/Mapping/Postcard Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Fill out this form to request a speaker on redistricting and fair maps, or to ask for a mapping facilitator to meet with your group and guide you as you create a map of your community. You can also indicate interest in postcards, yard signs and bumper stickers for Fair Districts.

We have regional postcard distribution points in Columbus, Cleveland, Cincinnati, Dayton, Akron, Toledo and Northwest Ohio. It saves us a lot on postage if you can pick up regionally! Please let us know in the comments if you are able to collect your cards -- and from where!

If you have specific questions or concerns, please contact Lisa Wurm at lwurm@lwvohio.org. Thank you!

First Name *

Last name *

Email *

Phone (We won't share but it's useful if we need to be in touch.)

Organization (requesting presentation or mapping)

Street Address (for shipping -- no PO Boxes please)

City *

Zip Code *

I would like to request a presentation on Redistricting *

Full presentation (+/- an hour, including time for Q&A)

Short presentation (+/- 30 minutes, including Q&A)

Mini presentation (+/- 10 minutes)

Not at this time

Date and time of presentation

I would like to request a facilitator to help my group create a Community Map *

Yes

Not at this time

The neighborhood/area where we want to create a community map

I am/My group is interested in writing postcards about redistricting. Please send: *

90 cards (10 sets of 9)

45 cards (5 sets of 9)

None at this time

Other:

I am/My group is interested in distributing yard signs and bumper stickers. (Info coming soon) *

Yes

Maybe