Contact Information
First Name*
 
 
Last Name*
 
 
Email*
 
 
 
Video Link*
 
 

Please leave any additional information you'd like to share here.

 
Additional Information
 
 
 
Address 1: City
 
 
Employer or School
 
 
Date of Birth
 
 
Address 1: State
 
 
Title
 
 
 
Zip Code
 
 
 
 
With a specific interest in consumer privacy and choice, the GDPR regulations will soon take effect throughout the European Union. Alongside our commitment to Bipartisanship and informed policymaking we believe in the impact of our engagement with you. We value the power of choice and our relationship with all who interact with and support our work. We ask that you continue to engage with us and help strengthen our work by taking a look at our updated User Agreement and letting us know which of our communications are most important to you. 
Terms*