Chris Yoosefi Mailing List

1
Your Name* This field is required.
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2
Your Email* This field is required.
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3
Mobile Phone NumberOptional - please enter if you would like to receive updates by text.
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4
Are you a Burbank resident?
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5
Would you like a yard sign (we'll deliver when available)?
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6
Please enter your address:* This field is required.
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7
Are you interested in volunteering?Selecting "yes" will redirect you to our volunteer form.
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8
Do we have your permission to contact you via email and text?You may view our privacy policy here.
Yes, I would like to receive emails regarding campaign updates, event announcements, and news from Chris Yoosefi for Burbank City Council. I understand that I may unsubscribe at any time.
Yes, I would like to receive text messages from Chris Yooesfi for Burbank City Council, including campaign updates and volunteer opportunities. I understand that message and data rates may apply and that I can text STOP at any time to opt out.
9
Let us know what matters most to you. What issues affecting Burbank are top of mind for you? (optional)
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