Renewable Heat Now Regional Teams
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First and Last Name *
Pronouns
E-mail *
Phone number *
Organization if applicable
Which Region Do You Live In? (choose all that apply) *
Required
Are you interested in co-coordinating your regional lobbying team? This will involve coordinating meetings with the other members of your regional team and setting up meetings with legislators.
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Availability (check all that apply)
What excites you about this campaign?
What concerns do you have about this campaign?
Do you have any other input or questions for us?
Zip Code *
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