Join the team. . . !

First Name
Last Name

Business/ Organization
Home Street Address
Address (cont.)
City State   Zip Code  
Work Phone
Home Phone
Cell Phone
E-mail

How would you prefer to be contacted?

by e-mail
at my daytime phone
at my evening phone
on my cell phone
by US mail

Have you ever worked on a political campaign? Yes No
If yes, please list when and for whom:


Check all ways you might be interested in assisting a campaign:

Put a bumper sticker on my car Put a sign in my yard
Stuff and/or address envelopes Do literature drops
Enter information into a computer Participate in a sign standout
Send "Dear Friends" cards Host a coffee or fundraiser in my home
Build and/or put up signs Assist in the campaign office
Make phone calls from my home Help with phone banking
Work at the polls on Primary Day Work at the polls on General Election Day
Volunteer time at a booth for a candidate Stand out at a polling location on Election Day

> Volunteer!
.


> VOTE!
Be sure you're registered

 

 


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