Test - Move Minnesota

Tell us about your experience with transportation in your community. How has this impacted you?*

Why does improving transit, bicycling, walking, or rolling matter to you?*

What are your hopes for the future?*

Would you be interested in sharing your perspective with elected officials or other decision-makers? If so, Move Minnesota can help.*

Yes
No
Maybe

First & Last Name*

Email*

Address*

Street Address City State ZIP Code

Phone*

Signature (type your first and last name)*

By submitting this form, I grant Move Minnesota and any of their agents and assignees permission to use my submission and my name and likeness, including photographic, video, and audio recordings, without payment or other consideration as they see fit. Move Minnesota may publish, distribute, exhibit, and edit these materials, in perpetuity, for the purposes of marketing, publicity, advertising, advocacy, education, and news production.*

Yes

I am 18 years of age or older*

Yes
No