Request edit access
Del. Danica Roem, Dan Helmer, and Del. John Bell Canvass on April 13th @12pm
Location: Haymarket Gainesville Community Library
If you have any questions please email: Sarah Duska at
Name (First and Last)
Cell phone number
First time canvassing?
Would you like to be paired with an experienced canvasser?
Do you have MiniVan?
Never submit passwords through Google Forms.
This form was created inside of Helmer for Virginia.
Terms of Service