| Contact information |
| *First Name: |
|
*Last Name: |
|
| Mailing Address: |
|
| City: |
|
*Zip: |
|
For All Phone Numbers Please Include Area Code
e.g.
(951) 555-1212 |
| Evening Phone: |
|
Daytime Phone: |
|
| Mobile Phone: |
|
Fax Number: |
|
| *Email: |
|
| Best method to reach you: |
Any
Email
Phone
Fax
Mail |
| Best time to reach you: |
Any
Morning
Afternoon
Evening |
| Profession: |
|
| Work schedule:
|
Work full-time
Work part-time
Do not work
Student
|
| Preferred Activities (check all that apply): |
Phone Banking
Voter Registration
Precinct Walking
Public Speaking/Speakers Bureau (coordinating and
participating in speaking engagements)
Media Committee
(letter writing, calling talk shows, volunteer outreach)
Fundraising
Graphic Design/Marketing
Volunteer Recruitment
Writing Press Releases
Letter Writing
Calling Talk Radio
Office Work
Get-out-the-Vote Activities (GOTV)
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