District 2 Councilmember / Council President Nikki Fortunato Bas' Meeting & Event Request Form
Community members, Residents, Organizers, Leaders, etc: 
  • Are you looking to meet with your elected representative in District 2?
  • Are you interested in having D2 Council Member Bas speak at or attend your event? 
  • Are you a Resident or group of residents looking for time to speak with your elected representative about issues in your neighborhood?
If so, please use this form to request a meeting time with Council President Nikki Fortunato Bas and/or her staff members. Please fill out the form completely, to ensure that office staff have all the information they need before they contact you about setting up a time. 

For any questions or other assistance, please reach out to Debra Israel, D2 Constituent Aide, at DIsrael1@oaklandca.gov
Sign in to Google to save your progress. Learn more
Email *
Requestor Name *
Requestor Phone Number
Requestor Email *
Requestor Organizational Affiliation *
If not connected to an organization, please input 'N/A'; if you are a District 2 Resident, please put, "Constituent"
What's the best way to contact you?  *
Which District 2 neighborhood are you connected to? 

¿Cual vecindario del Distrito 2 estás conectado? 

您居住在第二區的哪個社區?
*
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Nikki4Oakland. Report Abuse