GET INVOLVED! REGISTRATION FORM

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GET INVOLVED! REGISTRATION FORM

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* Indicates required question

FULL NAME *

Your answer

EMAIL *

Your answer

PHONE NUMBER *

Your answer

MAILING ADDRESS *

Your answer

VOTING PCT # (IF KNOWN)

Your answer

DO YOU WANT TO BE ON OUR EMAIL LIST? *

YES

No

Would you be interested in being a paid Election Clerk? *

Yes

No

Maybe

DO YOU HAVE TALENT TO LEND TO OUR CLUB?

MARKETING / PR

ADMINISTRATION

DATA ENTRY

BLOCK WALKING

DONATE MONEY

ANY COMMENTS OR SUGGESTIONS?

Your answer

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