New Yorkers for Dance Video survey New Yorker Information Question Title * 1. I want to film a Dance/NYC NEW YORKERS FOR DANCE video: Yes No Question Title * 2. Your personal information Name: * Company: Address: * Address 2: City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Email Address: * Phone Number: * Question Title * 3. Your Twitter handle: Question Title * 4. Your City Council district:If you don't know your district visit http://council.nyc.gov/html/members/members.shtml Question Title * 5. Your Community Board:If you don't know your community board visit http://www.nyc.gov/html/cau/html/cb/cb.shtml Question Title * 6. Your State Assembly District: If you don't know your Assembly district visit http://assembly.state.ny.us/mem/?sh=search Question Title * 7. Your State Senate District:If you don't know your Senate District visit http://wwww.nysenate.gov/senators Question Title * 8. A sentence or two on why dance matters to your neighborhood (I am a NEW YORKER FOR DANCE because......) Question Title * 9. Any further notes or other comments: Done