JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Pledge Your #1 Vote to Burhan Azeem!
Burhan Azeem is running for City Council. Commit to cast your #1 vote for him on Tuesday, November 2nd!
https://www.voteburhan.com/
to learn more
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What's your name?
*
Your answer
What's your zipcode?
*
Your answer
Are you registered to vote in Cambridge?
*
Yes
No (I'm not eligible)
No (Please contact me about registering!)
Maybe (Please check and let me know!)
Can Burhan count on your #1 vote?
*
Yes! I'm all in!
Maybe. I'd like to learn more.
No, but you have my #2 vote!
No, I'm supporting another candidate
I can't vote in Cambridge
What are the best ways to contact you?
*
Call me
Text me
Knock on my door (when it is safe)
Email me
Send me a postcard
Required
Email
*
Your answer
Phone Number
*
Your answer
Would you like to receive email updates from Burhan?
Yes
No
One update to remind me to vote
Clear selection
Would you like to help out the campaign?
*
Yes
Knock on doors (when it is safe)
Talk to my friends about Burhan's campaign
I'd like to put up a yard sign
I'd like to financially support the campaign
Maybe later
No thanks
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
