Canvassing sign-up form

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Thank you for your interest in canvassing with the Scott for Somerville City Councilor Campaign! Please select the dates you are available.

What is your name?

What is your email address?

What is the best phone number to reach you at?

Which dates would you be available to canvas?

Saturday, September 27th, 12pm to 2pm

Sunday, September 28th, 12pm to 2pm

Saturday, October 4th, 12pm to 2pm

Sunday, October 5th, 12pm to 2 pm

Saturday, October 18th, 12pm to 2pm

Sunday, October 19th, 12pm to 2pm

Saturday, November 1st, 12pm to 2pm

Have you canvassed before?

Never, this will be my first time!

I've done a little bit

I've done a lot

Clear selection

How comfortable are you canvassing?

I'm happy to go it alone

I'd like to go with a buddy

Clear selection

Anything else you'd like to share with us?

Would you like to be added to our email newsletter?

Yes

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Submit

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