first
name:
last name:
address:
city:
state: zip:
email address:
home phone number:
cell phone number:
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I
am interested in (check all which
apply):
volunteering
with a campaign
making phone
calls
door-to-door
canvassing
hosting an
event
helping on
election day
helping in the
office
I am
available (check all which
apply):
Weekends
Weekdays
Mornings
Afternoons
Evenings
Additional
comments:
In addition to providing comments, please let us know if
you have any special skills or talents which you could
contribute (i.e. photography, website development,
database experience, etc.):
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