2019 PDWC PAC ENDORSEMENT APPLICATION
CANDIDATE AND CAMPAIGN INFORMATION
Email address *
Candidate Name: *
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What office are you running for? *
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Your Committee name:
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Campaign address: *
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Candidate phone number: *
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Campaign manager phone (if applicable): *
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Campaign email and website:
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Endorsements received:
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Previous elected offices held:
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Relevant memberships
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