form-02

Phone A Friend 2022

Name
How did you participate in Phone A Friend 2022?
Share with us what you enjoyed about talking with your legislator, if they shared anything with you, why you participated, etc.! This is your space to share with BIAV and our community partners about your experience.
How do you identify?
Select all that apply
What brain injury services are you a member or part of?
Select all that apply
Drop files here or
Max. file size: 512 MB.
    Please note, by uploading your photo, you agree that it can be shared on BIAV social media, e-newsletter, and other marketing materials. If you have any questions or concerns, please email sophie@biav.net