Your Name (required)

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Home phone:

Cell phone:

Home Address:
Address:

Activities I’d like to be involved in:
 Going Door to Door Host a party Put up a lawn sign in my front yard Put up a 4'x8' sign in front of my business Work at the Campaign Headquarters Help with mailings Be a poll worker on Election Day Make telephone calls on behalf of team Join the sign waving team Join travel team for special events

Your Message

Your Name (required)

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Yard Sign location address:

City:

Daytime Phone:

Comments or instructions: