JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
How can I help?
Would you like to help Chuck with his campaign? Fill out this survey to help get the word out...
Sign in to Google
to save your progress.
Learn more
First Name
Your answer
Last Name
Your answer
Phone Number
Your answer
Email Address
Your answer
What is the best way that you feel like you can help?
Your answer
Would you like to help in any of these ways? (Check as many as you like)
Put out a yard sign
Host a Meet & Greet with Chuck
Host a fundraising event
Make phone calls to potential voters
Knock on doors with neighbors in your community
Make some Social Media Posts (Rumble/Facebook/Twitter)
Other:
Would you like to make a donation to the campaign fund?
Yes
No
Maybe
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
