Martin County Democrats - Volunteer Mail Form

Volunteer Contact Form

Fields in Red* are Requested:

First Name*

Last Name*

E-mail*

Phone Number*

Address*

City, ST Zip*

Other City

Other State

ZIP Code

Do you live in community with a Homeowners Association?

Homeowners Association:

Please Select All That Apply:

Headquarters Volunteer Activities:

I am Bilingual. My Other Language is:
I Will do Telephoning	I Can Help in the Mornings at HQ
I Will Help with Mailings	I Can Help in the Afternoons at HQ
I Have Office Skills	I Can Help in the Evenings at HQ
I Have Computer Skills

I Am Available These Days:
Monday	Tuesday
Wednesday	Thursday
Friday	Saturday
Sunday

Outside Activities:

I Will Help with Fund Raising	I Will Host a Fund Raising Event
I Will Help Put Out and Monitor Roadside Signs	I Will Attend Rallies and Sign Wavings
I Will Help with Coffees and Social Events	I Will Host a Coffee or Social Event
I Will Help Staff an Event Booth	I Will Display a Yard Sign
I Would Prefer to Work from Home	I Will Put Bumper Stickers on My Car
I Will Write Letters to the Editor

I Can Do These Election Day Activities:

Telephone Calls	Driver
Poll Worker	Poll Watcher

I'm Interested in These Community Activities:

Democratic Club	Democratic Women's Club
Democratic Executive Committee	Precinct Captain
Conservation Alliance	River Coalition
Martin County Consensus	Local Government Meetings

I Have a Specific Issue:
I Have an Interest in a Specific Candidate:

Include any addition information or message here:

Select Contact Method:

E-mail Mail Phone Fax
Put me on your E-mail list to receive occasional e-mail newsletters
Put me on your 'Activist' E-mail list and keep me fully informed
Please do not put me on your E-mail list

Enter the code shown in the image and click "Send":*
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