Name: _________________________

Address: ____________________City: _________ State: ___  Zip: ______

Phone: (h) ____________ (w) ____________ (m) ____________

Best time to call: _________________________

E-mail Address: _________________________

I'd like to get involved by:

□  e-mailing friends to get out the vote

□  hosting a meet & greet and/or fundraiser

□  inviting Elizabeth to speak at an event or meeting

□  placing a campaign sign in my yard and/or place of business

□  placing a campaign magnet on my car

□  helping put out campaign signs

□  becoming a member of the Committee to Elect Elizabeth Redenbaugh
□  publicly endorsing Elizabeth (endorsement section to be added to website)