Skip to main content
Main navigation
About
Issues
Fiscal Responsibility
Opioids
Veterans
Diversity & Inclusion
Economic Development
Public Safety
Get Involved
Endorsements
Contact
Endorsement Form
Name
Title
Type of Endorsement
Individual
Organization
Organization Name
Address
City, State & Zip
Cell Phone
Email
Yes, I endorse the campaign being conducted by Ilene Shapiro.
Submission of this form serves as authorization to use my name/likeness for general publicity purposes related to the campaign.
Yes, my organization endorses the campaign being conducted by Ilene Shapiro.
Submission of this form serves as authorization to use the organization name for general publicity purposes related to the campaign.
Yes, I can help the campaign in other ways. Please contact me to volunteer.
