Volunteer for Mark Shurtleff

We appreciate your willingness to volunteer. Please completely fill out the form below and let us know which areas you are interested in.

First Name:

Last Name:

Address 1:

Address 2:

City:

State:

Zip Code:

Email Address:

Phone Number:

I would like to: (please check all that apply)

			Attend my Neighborhood Republican caucus in March 2010
			Run to be a Republican State Delegate
			Apply to vote-by-mail permanently
			Blog about or promote Mark on social networking websites
			Display a lawn sign in your yard
			Volunteer at campaign events or to put up signs
			Host a neighborhood meeting in my home
			I endorse Mark Shurtleff and the campaign can use my name as an official endorser
			Register to Vote

Your Contribution Can Help
In The Following Ways

	$5.75: Adopt a lawn sign
	$18.50: One rural radio ad
	$76.00: A week of internet ads
	$125.00: One Primetime TV ad
	$567.00: 2,000 pieces of mail
	$2,400.00: Max it out! It helps a whole lot!
	Other: Donate what you can. Every little bit helps!

For questions, please call 888.308.2010
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