BYV! Kzoo Canvasser Sign-Up
NAME
First Name
Last Name
EMAIL
example@example.com
PHONE NUMBER
Please enter a valid phone number.
ADDRESS
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you *Currently registered to vote?
Please Select
Yes
No
Unsure
Are you an *Active voter?
Please Select
Yes
No
Unsure
Have you ever participated in a community Canvass or petition signature collection before?
Please Select
Yes
No
Unsure
T-Shirt Size
Please Select
S
M
L
XL
3XL
Emergency Contact
First Name
Last Name
Phone Number
Please enter a valid phone number.
Emergency Contact
First Name
Last Name
Phone Number
Please enter a valid phone number.
Submit
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