Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone (texting only) *

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Who do you side with politically?

Republican

Democrat

Green Party

Libertarian

Non Voter (F the System!)

How would you like to volunteer?

door to door talking/handing out pamphlets

Social media content creators/boosting influence

Texting friends/family

Farmers Markets

Host/Start a Fundraiser

Sharing Campaign Online

Attend Peaceful Protest

Attend Campaign Rally/Event

Request Pamphlets to hand out

Put Campaign Sign in yard