Name:    Phone #: 

Address:    City/Town:

     State:    Zip Code:    E-Mail:

Employer:

Occupation:

I would like to volunteer in the following ways:

Put up a lawn sign                               A bumper sticker for my car

Help with mailings                                Do a neighborhood walk with Pam

Write "Dear Friend" cards                   Host a fundraiser

Add my name to the signature ad       Make phone calls

Host a coffee/host party                      Help on Election Day

Hold signs at visibility events               Canvas neighborhoods

Serve as a neighborhood contact       Walk in a parade with Pam