First Name                                     *Last Name 
   
   
Address    


City   


State                              *Zip   
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Neighborhood                        Church Affiliation                           Occupation
       

*Email     


I'm interested in (check all that apply):
Going door-to-door with other volunteers to pass out literature.
Volunteer at campaign headquarters.
Put a campaign sign in my yard.
Help with mailings.
Make telephone calls.
Host a fundraiser or event for candidate.
Hand out literature at the polls on Election Day.
Drive voters to the polls on Election Day.
Write Letters to Editor of newspaper.
Contacting Friends, Family, and Neighbors.
Election Day Sign holder.
Election Day Headquarters worker.
Election Day Coordinator.
Campaign Event Staffing (Organizer, Greeter, Cashier, etc).


*required