Endorse Ricardo Lara!
Thank you for your support of Ricardo Lara for State Insurance Commissioner! Please fill out our form below and one of our campaign staff members will contact you to follow up on your endorsement pledge.
First & Last Name
Title *For Identification Purposes Only
Organization *For Identification Purposes Only
Permission To Use Name
I give permission for the campaign to use my name publicly as a supporter of Ricardo Lara!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service