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Name
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Your answer
Address
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Your answer
Cell Phone Number
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Your answer
Email Address
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Your answer
How can you help Mike win (choose all that apply)?
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Deliver me signs that I will display on my lawn
I can help knock on doors
I can help make phone calls
I have some people who I want Mike to meet
I want to write a letter in support of Mike (for the local papers and/or website)
I want to host a party/fundraiser with Mike and some of my neighbors/friends
Other:
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