BWOPA LOCAL CHAPTER
PAC ENDORSEMENT REQUEST APPLICATION
Endorsement Request
Full Name
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Address
City/State/Zip
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Phone
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Website
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Email
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BWOPA Chapter Affiliate (if applicable)
Please Name
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Seeking which office (city, special district, county, statewide)
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Date of election/appointment
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Close of Filing Date
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Geographical area covered
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Candidate seeking office
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List your top 3 platform issues and why they are important to BWOPA: (1 of 3)
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List your top 3 platform issues and why they are important to BWOPA : (2 of 3)
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List your top 3 platform issues and why they are important to BWOPA: (3 of 3)
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Prerequisite for consideration
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Biographical sketch - no more than 100 words
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Name identification factor
Is the candidate known?
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Campaign Manager and Consultant
Identify
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Fundraising Goal
Also, indicate dollars raised to date
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Constituency base
Electability and ID likely voting base (where will most of votes come from)
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List potential candidate(s) for seat
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Relevant Demographics
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