October 6th Disability Candidate Forum
*
1.
What is your full name?
(Required.)
*
2.
What is your email address?
(Required.)
*
3.
Will you attend at least part of the event in-person at Access to Independence located at 26 N Main St, Cortland, NY 13045?
(Required.)
Yes
Maybe
No
*
4.
How many seats will you need?
(Required.)
1
2
3
4
5
6
7
8
9
10+
*
5.
Do you understand that you are responsible for bringing or buying lunch for yourself if you attend all day?
(Required.)
Yes
No
6.
Optional: Do you have any specific questions for the candidates or issues you want to hear about?