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NOCKAMIXON DEMOCRAT VOLUNTEER
INFORMATION
(Use your browser's print
option) |
| FIRST NAME: |
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| LAST NAME: |
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| ADDRESS: |
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| CITY/TOWN: |
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| ZIP CODE: |
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| VOTING DISTRICT: |
NOCK TWP BLDG ( ) |
|
NOCK REVERE ( ) |
| HOME PHONE: |
( )
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| CELL PHONE: |
( ) |
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EMAIL: |
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| I would like to help the Nockamixon
Democratic Committee with the following, checked items. |
| o |
THE PLACING OF SIGNS ON MY PROPERTY |
| o |
VOTING REGISTRATION CAMPAIGN |
| o |
DOOR TO DOOR HAND BILLING |
| o |
PHONE BANKS |
| o |
POLL WATCHER ON ELECTION DAY |
| o |
FUND RAISING EVENTS |
| o |
I WOULD LIKE TO KNOW MORE ABOUT BEING A CANDIDATE |
| o |
A PERSONAL DONATION PAYABLE TO |
|
Mail to: |
NOCKAMIXON DEMOCRATIC COMMITTEE
P.O. BOX 285 ~
REVERE PA 18953-0285 |
| For Questions or Additional Information,
call (610) 847-2394 or
email |