Endorsement Request 2019-2020 DFLEC
Endorsement request form for the DFL Environmental Caucus. Candidates or their campaign representatives may fill the form out. Be careful to include both the candidate's contact information and the appropriate representative's contact information. Answer N/A where no answer is appropriate.



We are interested in seeking endorsement by the DFL Environmental Caucus! I am: *
Required
The Candidate's First Name *
Your answer
The Candidate's Last Name *
Your answer
The Candidate's Email Address *
Your answer
The Candidate's Telephone Number *
Your answer
Office Candidate is Running For *
Your answer
Candidate's CD, SD and OU *
Your answer
Email of Campaign's Representative *
Your answer
Telephone number of Campaign's Representative *
Your answer
First Name of Campaign's Representative *
Your answer
Last Name of Campaign's Representative *
Your answer
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