Name
Email
Phone
Address
I'd like to:
Host a Coffee
Host a Fundraiser
Introduce Joanne to a club, group, etc (15 person minimum)
Go door to door
Help out on election day
Send me a lawn or window sign
Or help in any other way that is not listed
Are you in the media?
Yes
No
If yes, which one?
I'm willing to interview Joanne
Yes
No
N/A
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