How can you help

Name:

Email Address:

Phone Number:

Address:

City:

State:

Zip:

I am interested in the following activities:

Making Phone Calls	Serving as a club officer
Fund Raising	Publicity Committee
Voter registration efforts	Precinct walking
Hosting a fund raiser	Serving on a club committee
Helping with campaigns or area candidates
Helping with presidential campaigns
Relevant experience or skills (including past Democratic Party related roles/experiences)
Occupation: