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64th House District
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Tom Dubois "Leading Us Forward"
Campaign Volunteer Form
Only through Volunteers like YOU!
There are several ways you can play an active role in my campaign. Please check the boxes below in which you would be willing to help. It will be through the focused efforts of all of us that will ensure our victory. Thank you for your active support and I look forward to working with you toward a better tomorrow.
First Name:
Last Name:
Address 1:
Address 2:
City:
State:
ZIP Code:
Home Phone:
Work Phone:
Fax:
Email:
Available Days:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Available Hours:
From:
AM PM

To:
AM PM
I would like to volunteer to do the following:
Public Events
  Assisting with Events/Rallies
  Finding Events for Tom to Attend
Phone Bank
  Making Phone Calls
Signage
  Placing a Sign in My Yard
  Distributing signs & literature
  Placing a Bumper sticker on My Car
Leader in you neighborhood
  Serving as a Precinct Leader
  Door to door
  Tom meet & greet
  Coffees
  Register Voters
Campaign office assistance
  Helping Around the Office
  Helping with Mailings
  Sending Postcards
What Coalition Groups would you like to be a part of?
African - Americans Law Enforcement Natural Resource
Arab Americans Home Schoolers Pro-Life
Hispanics Military Religious Concern
Asian - Americans Farmers Sportsmen
Educators Labor Small Business Owner
Veterans Youth First Responders
Comments:
Campaign Headquarters:
931-490-7505 • 810 S. Garden Street • Columbia, TN 38401
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