Materials Request Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Enter # of Half-Sheet Push Cards needed.
Enter # of "10 Reasons to Vote No" Full-Page Handouts needed.
Enter # of "The Truth about Amendment 3" Full-Page Handouts needed.
Enter Preferred Pick-up Location:
Blue Springs
Gladstone
Grandview
Greenwood
Lee's Summit
Peculiar
If you are representing an organization, please enter name below.
Submit
Should be Empty: