First Name

Last Name

Pronouns

Phone Number

Email Address

Do you live in Assembly District 74? Note: donations from in-district residents are matched up to 12x by New York's public matching funds program.

Yes

No

Please refer to the blue outline on the map or click here if you're unsure.

How would you like to help the campaign? (you can check multiple)

Comms

Canvassing

Phonebanking

Fundraising/events

Open to help wherever needed

I am only interested in donating

If you selected Canvassing/Phonebanking, are you open to (you can check multiple):

Leading canvasses (we can train you)

Leading phonebanks (we can train you)

Cutting turf

Do you have the capacity to host any fundraising events for the campaign?

Yes

No

Is there an area we missed that you'd like to help with/anything else you'd like to tell us?

Volunteer

Donate Today