*Last Name

*First Name

*Street Address

Select all of the following options that apply:

I will be willing to work the polls for  hours on April 22, 2008.
      (The polls will be open for 13 hours total)

I will be willing to help out in the following ways:
     
      (Hold "Ctrl" to select multiple options)
      Place a sign in my yard Distribute signs in the community Make phone calls Go door to door with a group Help out with a rally Work on a finance committee Write letters As needed Other Please Specify: