Pacifica Election Mail House Request Form

IMPORTANT: READ BEFORE PROCEEDING
Only current candidates may submit a mail house request.

You may only send physical or digital mailings to voters associated with your station affiliation unless you are a PNB Officer candidate.

Review the Mailing List Confidentiality and Data Use Agreement Here:

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Your Radio Station Affiliation

Are you running for an LSB or the PNB?

Which mailing list would you like access to?

Are you running as an individual candidate or on a slate?

If you are running on a slate, please include the slate name and list candidates connected to the slate:

PLEASE obtain candidate’s permission before submission as everyone will be responsible for all content on mail house promotions.

Which mail house services are you requesting? Please select all that apply.

Which mailing house(s)/vendor(s) will you be using?