STATE ASSEMBLY DISTRICT 77

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Rich Belitz
For
ASSEMBLY DISTRICT 77
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BECOME A CAMPAIGN VOLUNTEER

  1. Please provide the following contact information:

    Name
    Title
    Organization
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Country
    Work Phone
    Home Phone
    FAX
    E-mail
    URL
  2. Select any of the following options that apply:

    help with mailings and emailing campaigns
    make phone calls
    walk my precinct and/or other areas
    take writing assignments
    help generally
    submit information (using Comment box below)
    make a suggestion (using Comment box below)
    give a major contribution
    subscribe a monthly or quarterly financial pledge
    submit a project proposal (using Comment box below)
    spread the word through business cards, flyers, and signs

  3. Comment(s) / Message / Suggestion(s) / Etc.:


Rich Belitz
For
ASSEMBLY DISTRICT 77