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Volunteer

Your participation matters!

Be sure to check off your interests and availability as you fill out the form. Feel free to add comments about yourself, your special skills, or anything else you'd like us to know.

Thank you for your support!

* Required fields
Contact Information
Mr. or Ms.		Mr. Ms. Mrs. Dr. Rev. Hon.
* First Name
Middle Initial
* Last Name		Jr. Sr. III IV
Street Address
Apt# or Ste.
City
* State		AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
*Zip Code
Daytime Phone		preferred
Evening Phone		preferred
Pager or Cellular		preferred
Fax
* E-mail Address
Occupation		(optional)
	I want to receive campaign updates via E-mail
	Updating your information? Check here if you are using this form to change your E-mail address, phone, or street address from what we currently have on file.
Please tell us how you can help    (Check all that apply)
	I'll distribute information about the Club in my building
	I'll help get petition signatures for the Club
	I'll host a "Meet The Club Leaders" at my home
	I'll be an "Online Captain" for the Club
	I'll phone bank for the Club's events
	I'll help with mailings
	I'll do street campaigning
	I'll do computer work at the Club
	I'll write a "Dear Neighbor" letter for the Club
	I'll do volunteer work at headquarters
	I'll help on election day(s)

Availability
	Mornings		Afternoons		Evenings
	Saturdays		Sundays		Flexible

Please tell us a little about yourself   (Optional)
	I am a registered Democrat
	I have worked on a campaign before
	I am a member of another Democratic Club
	I am self-employed
	I am a student
	I am retired
	I am a member of a labor union
	I am a veteran
	I want information on registering to vote
	How did you hear about this campaign Web site?
		-- Choose one -- Club letter or flyer Colleagues at work E-mail message Friends and family From another Web site Newspaper or magazine Club phone call Radio Television Another Democratic Club Other
Please describe your special skills or interests
Thanks for your support! Become a member and join our activities.