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Sign Up for a Legislative Visit to #RepealPNA
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Make sure your legislator votes YES on repeal! Please fill out this brief form if you're interested in getting involved with the effort to repeal Illinois' dangerous Parental Notice of Abortion (PNA) law.
Name
*
Your answer
Pronouns
*
Your answer
Your Email (will only be used for follow up)
*
Your answer
Your Phone Number (will only be used for follow up)
Please share your cell number if text or call is the best way to contact you.
Your answer
Your Address (used to determine which district you live in + will not be used for solicitations)
*
Your answer
Would you like to join us for a legislative visit to your Legislators to demand they vote YES on PNA repeal?
*
We will support you in prepping for and scheduling the (virtual) meeting!
Yes
No
YES, you can [check all that apply] ...
*
Email me
Text me
Call me
Other:
Required
Are you a [check all that apply]...
*
Young person
Healthcare provider
Parent
Judge / Lawyer (especially for judicial bypass processes)
Counselor / Case Manager for youth
Person who has had an abortion
None of these
Required
Are you part of any organizations?
Your answer
Do you have any existing relationships with Illinois Representatives? If yes, who?
Your answer
Is there anything else you'd like us to know?
Your answer
THANK YOU for your time and interest!
We'll be in touch soon. In the meantime, check us out and find more resources at
www.RepealPNA.org
.
Questions? Please feel free to connect with Maria at
msaid@napawf.org
.
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