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Volunteer to help elect Democrats in Santa Cruz County
Fields marked with an * are required.

About You
*First Name:		*Last Name:
Mailing Address:
City:		*Zip:
For All Phone Numbers Please Include Area Code e.g. (831) 555-1212
Home Phone:		Work Phone:
Mobile Phone:		Fax Number:
*Email:
Best method to reach you:	Any Email Phone Fax Mail
Best time to reach you:	Any Morning Afternoon Evening
Profession:
Work schedule:	Work full-time Work part-time Do not work Student

Languages (please select up to three languages in which you are fluent, and mark whether you are proficient at writing in each):
First:	Write
Second:	Write
Third:	Write

Preferred Call-to-Action Activities (check all that apply): Some of these volunteer categories are not currently active, but we are interested in knowing your areas of interest in anticipation of future activities.
Phone Banking Voter Registration Precinct Walking Public Speaking/Speakers Bureau (coordinating and participating in speaking engagements) Media Committee (letter writing, calling talk shows, volunteer outreach) Fundraising Graphic Design/Marketing Event Planning Volunteer Recruitment Writing Press Releases Tabling Letter Writing Public Access TV Calling Talk Radio Office Work Get-out-the-Vote Activities (GOTV) Are you interested in becoming a Precinct Captain? What's This? Would you like to be part of our technical/web committee? Subscribe to our online newsletter? Comments (Special Skills or interests, other languages, additional information):