SHARE YOUR VISION Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### What's something you want to change? (Optional) What ideas would you like to share for city government or community building? (Optional) Do you have any stories you'd like to share about Sam or our campaign? (Optional) Thank you! Tell us about your ideas for a better Ward Six.