____Do you want to help Horace get re-elected?

_____Please complete the following form if you would like to volunteer to
_____help Horace in his campaign:

____Thank you! 
 
*First Name:
*Last Name:
*Address:
*City State Zip:
*Phone (H):
Phone (W):
*E-mail:
Neighborhood:
  *Required Field
 
 
 
   
 
 
I Can Help By: (Select any/all items you are interested in helping with)
Working the Polls on Election Day
Walking with Horace to introduce him to my neighbors
Distributing flyers and/or yard signs in neighborhood
Having a sign put in my yard
Sending emails to encourage my friends to vote
Having Horace speak to my group
Host a Fund Raiser
Making Get-Out-the-Vote phone calls
   
Other:
 
 
 
Paid for by Citizens for Horace Tart
 
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