Elections Volunteer Signup
Would You Like to Volunteer for Our Campaign? then fill the form below accurately.
Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
How would you like to help?:
*
Canvassing
Put up a sign
Phone Banking
I certify that I have authorization to give permission to place a sign for Khairullah for Congress on the Property listed below. I am ...
The owner of the property
An authorized person on behalf of the owner of the property
I am only interested in canvassing
Type of sign?
11x17 (Poster: Good for store fronts and windows)
24x16 (Lawn sign)
2ft x 4ft (Good for lawns, buildings sides, and fences)
4ft x 4ft (Good for lawns, building sides, and fences)
Street Address of Property
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What days of the week work best for your schedule?:
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
I can attend the core leadership meeting every sunday (2pm-4pm)?
Yes
No
Additional comments
Submit
Should be Empty: