Value Them Both Contact Form

Name (first and last)

Mobile Phone # *

Email Address *

Mailing Address (street address, city, state & zip code)

What parish do you attend? *

If you are a student, what school (high school or college) do you attend?

I would like to help with the following: *

Serve as a youth ambassador for my youth group, high school or college

Display a yard sign

Make phone calls to voters

Walk door to door

Write letters to the editor

Donate money

Distribute yard signs in my area

Help with community events

Encourage my friends to vote in advance

Any way I can!

I just want to stay informed

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