Formulaire de demande d'affiche du NPD Orléans // NDP Orléans Lawn Sign Request

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Formulaire de demande d'affiche du NPD Orléans // NDP Orléans Lawn Sign Request

Veuillez remplir ce formulaire si vous souhaitez recevoir une enseigne de pelouse lors des prochaines élections fédérales // Please fill out this form if you would like to receive a lawn sign in the upcoming federal election

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* Indicates required question

Prénom // First Name *

Your answer

Nom // Last Name

Your answer

Adresse de domicile // Home Address *

Your answer

Numéro de telephone // Phone Number

Your answer

Adresse courriel // E-mail Address

Your answer

Voulez-vous être bénévole? // Would you like to volunteer?

Oui // Yes

Non // No

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