Volunteer Registration

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Volunteer Registration

Putting People First: Whiting for 40th! Vote for Derrick Whiting.

* Indicates required question

Email *

Your email

Name *

Your answer

Address, City, State, Zip *

Your answer

Phone *

Your answer

Email *

Your answer

Choose Your Availability for door knocking *

WEEKENDS

WEEKDAYS

Morning

Afternoon (12-4pm)

Evening

WEEKENDS

WEEKDAYS

Morning

Afternoon (12-4pm)

Evening

Have you ever volunteered (door knocking) on a political campaign?
*

Choose

Yes

No

Can we contact you for other volunteer work?
*

Choose

Yes

No

T-Shirt Size
*

Choose

Small

Medium

Large

X-Large

XX-Large

No Shirt Please

A copy of your responses will be emailed to the address you provided.

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