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Your
participation is essential to re-electing Ann Marie in 2006.
Please check off your interests and availability by completing the
form below.
Campaigns are quite expensive and any assistance you can provide
would be greatly appreciated. Please go to our
donation form
to help out.
Thank you for your interest in the campaign!
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Contact Information |
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| Mr. or Ms. |
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| First Name |
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| Middle Initial |
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| Last Name |
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| Street Address |
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| City |
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| State & Zip |
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| Daytime Phone
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Call
here first |
| Evening Phone
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Call
here first |
| Fax |
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| E-mail Address
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| Occupation |
(optional) |
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Send me campaign
updates via email |
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| Please tell us how you can help
(Check all that apply) |
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I'll campaign
door-to-door for Ann
Marie |
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I'll display a
Re-Elect Doory yard sign |
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I'll host a Coffee
for Ann
Marie |
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I'll help make
telephone calls |
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I'll help with bulk
mailings |
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I'll help at the
polls on Election Day |
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I'll serve as a
Community Captain |
