CONTACT FORM

Would you prefer to be contacted by email or phone? *

• ✔︎ Email
• ✔︎ Phone
• ✔︎ Either One

Would you like receive emails about Republican Activities and News? *

• ✔︎ Yes
• ✔︎ No

Name *

First

Last

Phone Number use this format (805) 232-4444 *

City *

E-mail *

Who is your Supervisor? *

• John Peschong District 1
• Bruce Gibson District 2
• Dawn Ortiz-Legg District 3
• Lynn Compton District 4
• Debbie Arnold District 5

Reason for contacting RPSLO *

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