*ICAN VOTE Candidate Profile Sign Up
Please SCROLL DOWN, Sign Up Form begins BELOW Profile Examples
Basic Candidate Profile Example
Premium Candidate Profile Example - FREE until August 31st
Candidate Name: *
Hometown: *
Running For: *
Office Address *
Please Include Street Address, City, State, & Zip Code
Mailing Address
Phone Number: *
Email Address: *
Campaign Website: *
Please type your Full Name below if you would like a Free Premium Profile. ICAN will contact you (or your designee) with instructions and login for your Free Premium Profile. This Free Premium Profile may be used through Election Day, November 6, 2018 at no charge if we receive your reply prior to midnight, August 31, 2018. All Premium Profiles agreed to after that date will be charged at standard rates. *
Requested Login Name for Premium Profile:
Candidates Official Authorization: *
Never submit passwords through Google Forms.
This form was created inside of Iowa Cable Advertising Network. Report Abuse