Chicago 400 Alliance Commitment Card

First Name *

Last Name *

How did you hear about the Chicago 400 campaign? *

Street Address *

We ask for your address to find your state representatives. You may provide your intersection as an alternative to the full street address.

City *

ZIP

Phone Number *

Opt-In for Text Alerts

As part of the campaign we send text updates about the bill and district teams.

Contact Preferences

Call

Text

Other

Anything else you would like to share about your contact preferences:

I commit to:

✔️ Add my name to the letter asking my state senator and rep to support our bills.

✔️ Add my name to the letter asking my state senator and rep to meet with our group.

✔️ When the campaign meets with my state lawmakers I will do my best to attend.

✔️ I can connect the campaign to more people and organizations.

✔️ I want to learn more and then decide how to support.

You can also count on me to:

Connect you to other people or organizations

Make a donation

Help in another way

These are other people in Illinois I could invite to support you:

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