Kathryn Barger for Supervisor 2020 Endorsement Form
I am pleased to endorse Kathryn Barger for Los Angeles County Supervisor in the 5th District.
* Required
Email address
*
Your email
Please List my Name as Follows:
*
Your answer
Employer:
*
Your answer
Occupation:
*
Your answer
Address
*
Your answer
City:
*
Your answer
State:
*
Your answer
Zip:
*
Your answer
Phone:
*
Your answer
Comments (Optional):
Your answer
You have my permission to use my name and position on your website and other advertising as an endorser/supporter
*
Yes
Required
E-Signature (please type full name):
*
Your answer
Date of E-Signature/Endorsement:
*
MM
/
DD
/
YYYY
Send me a copy of my responses.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
