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Email Address *
First Name *
Last Name *
Title
Company
Address
Address
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City
State/Province
If state not on menu, select "Other" and fill in box.
Zip/Postal Code
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How would you be willing to help? Please check all that apply:
-Place a yardsign in my yard
-Place a bumper sticker on my car
-Use my land for large sign placement
-Call or email friends
-Host a meet and greet in my home
-Write a letter on Kevin's behalf
-Help set up and place signage
-Help with get out the vote phone calls


 

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