Intake form

Name *

Email address *

What issues are most important to you?

Please select at least one option.

Climate change

Affordable housing

Healthcare access

Education

Public transportation

Social justice

Economic development

Environmental protection

How would you like to get involved in the campaign?

Please select at least one option.

Volunteering

Donating

Attending events

Spreading the word on social media

Joining a local group

What is your postal code?

How did you hear about Troy Rife's campaign?

Would you like to share any additional comments or suggestions?

Additional questions or comments

Troy Rife for MP