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Volunteer
First Name:
Last Name:
Email:
Home Phone:
Cell Phone:
Address:
Zip:
Neighborhood:
District/Precinct:
Are you registered to Vote?
Do you need an Absentee Ballot?
Are you a Union Member?
Which?
Are you a student?
Where?
Are there any groups/organizations or communities to which you could spread the word (i.e. Veterans, Teachers)?
Where?
Availability (check as many as appropriate):
Days available for volunteering:
Weekends
Mon
Tue
Wed
Thu
Fri
Times Available:
Morning
Afternoon
Evening
Volunteer Activity Preference:
Host a House Party/Donate
Distribute Literature or Signs
Phone Bank
Organize your Neighbors
Write Letters to the Editor/Media Monitoring (radio, newspapers)
Face to Face Contact (Door to Door Canvassing)
Help Fundraise
E-mail your contacts
Office Volunteer (day night weekend)
Work Election Day
Donate food and/or refreshments for office volunteers
Display Yard Sign
Other: