Together We Can

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Together We Can

All answers will be kept confidential and only used to help us direct our efforts. Thank you for helping us take action locally. Please remember to click on SUBMIT when done.

Email *

Name *

Phone #

What Town, Village, and/or City do you live in?

What county do you live in?

I'd like to help by:

Running for office

Signing a petition so someone can run for office

Putting a sign in my yard

Buying a t-shirt

Donating money

Table - talking to people at local events

Choose all that apply

I'd like to help by:

Making phone calls

Transporting people to polls

Delivering yard signs

Knocking on doors

Joining my local democratic committee

Choose all that apply

I'm willing to:

Sign a petition on an issue

Host a meet and greet

Help with fundraising

Create campaign materials

Choose all that apply

Issues that are important to me:

Not important

Slightly important

Important

Very important

Extremely important

No opinion

Creation of living wage jobs

Social justice

Protecting social security

Tax reform

Lowering the deficit

Gun violence

Protecting the environment

Education

Addressing crime

Reducing taxes

Affordable health care

Political corruption

Campaign finance

Clear selection

Please list other issues or concerns you have:

Thank you!

Send me a copy of my responses.

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