| *** Email is the only
required field. |
|
|
| First
Name |
|
Activities I'd like to be involved in: |
Issues I'm interested in: |
| Last
Name |
|
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Volunteering
at Campaign Office |
|
Jobs |
| Address
1 |
|
|
Making
Phone Calls |
|
Education |
| Address
2 |
|
|
Sending
email to friends |
|
Roads |
| City |
|
|
Hosting
reception/coffee |
|
Taxes |
| County |
|
|
Sending
letter to the editor |
|
Healthcare |
| State |
|
Zip |
|
|
Helping
with fundraising |
|
|
| Email*** |
|
|
Putting
out signs and flyers |
|
|
| Telephone |
|
|
Calling
radio shows |
|
|
| Comments |
|
|
Other |
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|
