JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Virtual Reception with Special Guest Hillary Rodham Clinton In Support of NYS Assembly Member Rebecca Seawright
Monday, October 19, 2020, 5:30PM - 7:30PM.
Zoom Credentials Provided Upon RSVP:
https://secure.actblue.com/donate/rebecca-seawright-1
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Join Our Host Committee
*
Co-Host: $4,700
Sponsor: $2,500
Supporter: $1,000
Friend: $500
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