Name:*

Email:*

Phone:*

Address:*

I would like to volunteer in the following ways:*

I'll walk door to door to handout campaign materials during election time.

I'll write letters to the editor.

I'll send an email to my friends in the district during election time.

Volunteer at the campaign headquarters during election time.

I'll place a sign in my yard during election time.

I'll place a big road sign at my place of business during election time.

I'll phone my friends in the district during election time.

I'll send an email to my friends in the district during election time.

I'll host a meeting at my house.

I would like to make a financial contribution.

I would like to help out on Election Day.

I would like to help out in another way (please describe below)