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Volunteers for Team Denyse
Thank you for signing up to collect signatures on petitions to re-elect Rep. Denyse Wang Stoneback as State Representative of the 16th District! Please complete the questions below.

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First Name: *
Last Name: *
Street Address: *
Town, State *
Zip code *
Mobile: *
How many petition sheets do you need? (There are spaces for 20 signatures on each sheet.) *
I attest that I am fully vaccinated from COVID-19 and that I will abide by CDC guidance (e.g., mask wearing, etc.) while canvassing. *
Do you require any special accommodations due to a disability?   *
I would like to support Rep. Denyse Wang Stoneback's re-election campaign by:  
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