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Help Out

Your help is vital to the success of our campaign—and the future of Bucks County.
Whether you can post a few signs, organize an event, or make a few calls, your
efforts will make a difference.  Please complete the form below, and we'll be
in touch soon.  Thank you!

First Name:*
Last Name:*
DaveDoor
Home Address 1:* Home Address 2:
City:* State:*
Zip Code:*  
 
   
Home Phone:* Work Phone:
Cell Phone: Fax:
   
Email:*  
 
   
Best way to contact you (check all that apply):
  Email
  Cell Phone
  Home Phone
  Work Phone
  Address
 
Best time to contact you. (Check all that apply):
  Anytime  
  Mornings  
  Evenings  
  Weekends  
       
Thank you for offering your assistance to our campaign. If you can help with any of the efforts below, please check all the appropriate boxes.
  Deliver Signs

       
Put up a sign in my home/office  
       
  Serve on a host committee  
       
  Host an event at my house  
       
  Arrange a speaking event for David Zellis  
       
  Work the polls on Election Day
       
  Make phone calls
  Make an in kind contribution of a service
  Help raise funds for our campaign
       
  Other: