SGMA DefenSe Coalition

Full Name (Required)

First Name

Last Name

Phone Number *

(###)

###

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Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Select Your Category (Check all that apply) *

Grower / Rancher / Dairy Operator

Irrigation / Water District

Business (Ag or Other)

Local Ag Service Provider

Bank / Lender / Insurer

Transportation / Logistics Provider

Farm Labor Contractor / Labor Advocate

City or Municipality

County Agency or Official

School or School Board

Chamber of Commerce / Business Group

Special District

Commodity Group / Trade Association

NGO

Environmental or Conservation Organization

Concerned Resident / Rural Homeowner

Community Leader / Faith Organization

Student / Educator

Other

Public Endorsement (Optional)

Yes – List my name and/or organization

Yes – And I’d like to provide a quote

No – Keep my support private for now

Additional Involvement (Optional)

Contact me for media interviews or public testimony

Provide technical or scientific data

Assist with outreach and/or recruitment

Contribute financially

Coalition Events (Select preferences)

Press conference or rally

In-person briefing or strategy session

Virtual meeting update

Volunteer planning meeting