Volunteer

Salutation:

First Name:*

Last Name:*

Address 1:*

Address 2:

City:*

State:*

Zip Code:*

Email:*

Home Phone:*

( ) -

Cell Phone:

( ) -

I'd like to help Randy by:

	Assisting with events in my community
	Walking Door-to-Door
	Working the Polls
	Making Phone Calls
	Helping Distribute Signs
	Assisting at Campaign Headquarters
	Placing a Bumper Sticker on my Car
	Putting a yard sign in my yard
	Having my home serve as a Neighborhood Headquarters

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