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Leads Needed for:

Help Build Specific Coalitions:

Areas of Interest:

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First Name*

Last Name*

Phone*

Email*

Address*

City*

Zip Code*

Volunteer Duties (check all that apply)*

Work in booths to Distribute Collateral and sell Merchandise for Donations

Deliver Collateral to Permanent locations

Canvas Neighborhoods to hand out info.

Phone calls to Voters = Get Out the Vote

Weekend Rallies

Weekend Car Rallies/Caravans

Other

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Best Time for you to Volunteer (Check only one)*

Comments

Paid for by Rebuild California
PO Box 7053 Folsom Ca 95763