Volunteer Feedback/Uptake Form

"*" indicates required fields

First Name*

Last Name*

Email*

Phone Number*

Are you willing to sign a petition?*

Yes

Are you willing to circulate petitions?*

Yes

Address*

Street Address Address Line 2 City State ZIP Code

Are you willing to coordinate and collect?*

Yes

Address*

Street Address Address Line 2 City State ZIP Code

If you are not willing to sign, may we ask why?

DJT Supporter

Biden Supporter

Other

Please answer below*

What would you improve about the site?

What do you like about the site?

Comments

Phone

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