Senator Bush Announcement Event and Volunteer Form

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Be a part of history as Melinda vies to be the first Democratic Senator ever re-elected in Senate District 31!

Date: Saturday, April 2nd, 2016

Time: 1:00 p.m. start

Location: University Center of Lake County - 1200 University Center Drive, Grayslake

Can you attend the announcement of Senator Bush's historic re-election campaign? *

We will hold the announcement event the afternoon of Saturday, April 2nd. It will be held in Grayslake. Additional details are forthcoming. Please check all that apply!

Yes, I can attend the announcement.

...And I will join the campaign photo shoot immediately afterwards.

...And I would even like to do a video testimonial for Melinda afterwards.

No, I can't attend the announcement.

Required

Let's talk yard signs! *

Please check all that apply.

I would like a yard sign placed in my yard.

I would like to help deliver yard signs to people who want them.

I can help recruit people to put signs in their yard.

I know of a location for a big (2'x4') sign.

I can help put up big (2'x4') signs.

No thank you.

Other:

Required

How about volunteering? *

Please check all that apply.

I will knock on voters' doors for Melinda.

I will make phone calls to voters for Melinda.

I will host a house party for Melinda.

I will walk in parades with Team Melinda.

No thank you.

Other:

Required

Are you (or is anyone you know) interested in an internship with Melinda's historic re-election campaign? *

Yes - please contact me.

No.

Please send me more information

Would you like to sign up for Melinda's email list? *

Don't worry - we hate spam too.

Yes please!

No thanks.

First Name *

Last Name *

Best Contact Number *

(000) 000-0000

Best Email Address *

(If applicable)

Address 1 *

(Street Address)

Address 2

(If applicable - Apartment / Unit Number)

City *

Zip Code *

Additional Comments

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