How Can You Help?

Lend A Hand

Let us know how you could help our cause !

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* 1. What is your full name?

First name

Last name

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* 2. What is your email address?

Email address

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* 3. What is your telephone number?

Country Code

Phone number

Ext.

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* 4. What is your address?

Street address

City

State

Country

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* 5. Would you be interested in registering for a yard sign to support the campaign?

Yes

No

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* 6. Are you interested in volunteering for door-to-door outreach?

Yes

No

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* 7. Would you like to receive more information about how you can help Chuck Win?

Yes

No

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* 8. Are you open to being contacted to contribute to the campaign?

Yes

No