Share Your Vaccine Mandate Story

President Biden's vaccine mandates are harming workers and businesses. If you've been negatively affected, please share your story. Rep. Ron Estes will share some of these stories with President Biden and others. Your name and contact information will not be shared.

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Contact Information

First Name *

Last Name *

Email Address *

Home Phone

Home Address

Street Address: *

Street Address: (Continued)

City: *

State: *

Zip Code: *

Vaccine Mandate Story

I am: * An employee who has been fired, resigned or retired due to vaccine mandates.
A business or organization that has a diminished workforce due to vaccine mandates.

Share your story *

I agree to allow Rep. Ron Estes to share my story with President Biden and others. * Yes

By submitting this form, you are agreeing to future communications from the office of Congressman Ron Estes.

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