JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Join the Movement!
Sign up to join the campaign to elect Kim Roney for Mayor in 2022. Let's mobilize our friends, neighbors, and families to the polls!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Zip Code
*
Your answer
Please check any (all?) of the ways that you'd like to help the campaign!
*
Poll Greeter (extending a warm welcome w/ info)
Receive Newsletter
Yard Sign
Other:
Required
Yard Sign: include your street address for delivery!
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
