Get involved with Houston DSA's charter amendment campaign!

您的瀏覽器尚未啟用 JavaScript，因此無法開啟檔案。請於啟用後重新載入頁面。

Please fill this out and submit as soon as possible. If you have any questions or thoughts, contact Bryan at bryan.lavergne@houstondsa.org or @bryan on Mattermost.

登入 Google 即可儲存進度。瞭解詳情

Full Name *

Email address *

Phone number *

Zip code *

Are you a DSA member?

Yes

清除選取的項目

Which of the following are you willing to do? *

In-person canvassing (with PPE)

Phonebanking

Logistics (e.g., delivering materials to canvassers, having canvassers pick things up from you)

必填

Do you have a car?

Yes

其他：

清除選取的項目

When are you typically available? *

This can include in-person canvassing or logistics

Saturday morning

Saturday afternoon

Saturday evening

Sunday morning

Sunday afternoon

Sunday evening

Mon. - Fri., morning

Mon. - Fri., afternoon

Mon. - Fri., evening

必填

Anything else you'd like to mention?

提交

清除表單

請勿利用 Google 表單送出密碼。

Google 並未認可或建立這項內容。檢舉濫用情形 - 服務條款 - 隱私權政策

表單