By submitting this form, I, the undersigned endorser, hereby grant Commissioner Fabiola Stuyvesant permission to use my name, likeness, and the information provided herein on her website and in other advertising materials as an endorser/supporter of the Fabiola Stuyvesant Reelection Campaign.
Please submit the photograph and/or video of support that you would like to use for advertising purposes.
Thank you for your support.
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