Help the Campaign to Elect Al Krulick!

(Items without * are optional)


*Name:
*Phone:
Title:
Date of Birth:
Company:
*E-Mail
*Street:
*Apt./Suite:
*City:
*State: *Zip Code:

I can donate the following items/services to the Campaign:

Signature collection
Make phone calls
Distribute literature
Make signs
Make buttons
Write letters to the editor
Call in to radio shows
Attend events, rallies, etc.
Office help
Solicit donations
Transport volunteers
Take a lawn sign
 Hold a house info meeting
Food for fund-raising events
Hold a fund-raising event
Office supplies
Art supplies
Use of a computer with printer
Photocopies
Printing services
Campaign office space
Money
Amount Pledged:$
Tell us what more you can do to help:




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