General Volunteer Form

First Name *

Last Name *

Email *

Cell Phone *

Zip Code *

I'd like to help!

I'd like the campaign to help me figure out which of my friends can vote for Samir so that I can email them.

I live in Maryland, DC, or Northern Virginia and can help canvass, phonebank, or staff a polling place in late June

I'd like to host a meet-and-greet for Samir in Maryland's district 16

I'd like to host a fundraiser for Samir

I'd like a yard sign for Samir

I'd like to donate to Samir's campaign (please visit samirpaul.com/donate)

Other:

Home address:

Please include this if you requested a yard sign