Bronx Wide Plan Interest Form
Thanks for your interest in building Bronx power for racial justice and economic democracy! Use this form to share some basic information about yourself and how you want to get involved.

To check out more about the Bronxwide Plan, visit: bronxwideplan.nyc 


¡Gracias por su interés en construir el poder para la justicia racial y la democracia económica en el Bronx! Utilice este formulario para compartir información básica sobre usted y cómo desea participar.

Para leer más sobre el Bronx Wide Plan, vaya a bronxwideplan.nyc  
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Name // Nombre *
Phone Number // Numero de Telefono *
Email // Correo Electrónico *
Zip Code // Código Postal *
Preferred Language // Idioma preferido *
Organizational Affiliation // Afiliación Organizacional
I want my organization to endorse the BWP plan // Quiero que mi organización respalde el plan BWP
What activities are you interested in? //  ¿Que actividades te interesan? *
Required
Questions or comments? // ¿Preguntas o comentarios?
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