* First Name
* Last Name
* Email
Address
City
State
Zip Code
Phone
* Verify
* Additional Comments
I am willing to help with the following items:
Authorize the use of my name in promotions and ads
Put a sign in my yard
Put a 4’ by 8’ sign on my property
Call or write my friends
Write letters of support
Distribute literature
Work the phones
Help with fund-raising
Help with Dan’s e-mail activism
Host neighborhood gathering
Walk in a parade supporting Dan
Provide data entry support
E-mail:
