Labor Campaign for Cowper - Volunteering
This form is used to collect data to assist with Labor's preparations for the 2019 federal and state elections in Cowper
Email address *
First name *
Your answer
Second name *
Your answer
Local Government Area *
Delivery address for materials *
Your answer
Phone number *
Your answer
The best time to contact you *
You can help with: *
By doing *
For pre-poll places and election day polling day, I prefer *
Required
Do you have any special needs or anything we should know? *
Your answer
Is there any other assistance you can give us? (not mentioned here) *
Your answer
Have you helped out like this on political campaigns before? *
Do you have friends who you think might also be interested in helping? *
Are you a Labor Party Member? *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Cowper Labor Campaign Task Force. Report Abuse - Terms of Service