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Username:

Username: Your username will only be used when you login to the website. It will not be displayed to the public, but we recommend you use your real name so it's easy for you to remember.

Password:
Re-Type:

Password: Please select a password from 5-20 characters long. Then re-type the same password in the second field.

Email:
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Email: Please enter your email address and then re-type it in the second field.

PERSONAL INFORMATION

First Name:

First Name: Please enter your first name.

Last Name:

Last Name: Please enter your last name.

Street Address:

Street Address: Please enter your street address.

City:

City: Please enter your city.

State:

State: Please indicate the state of which you are a resident.

Zip:

Zip: Please enter your zip code.

Phone:

Phone: Please enter your phone number. Optional

VOLUNTEER OPTIONS

Please check any items that interest you, or that you
are willing to help with as a volunteer.

Interests - Candidate Support Interests - Caucus and Assembly Interests - Election Integrity Interests - Events, Parades, Fundraisers Interests - Host a Meet and Greet Interests - Make phone calls Interests - Polling and Surveys Interests - Post signs Interests - Sign Waving Interests - Social Media Interests - Voter Registration Interests - Walk precincts	Interests - Work in the office Interests - Writing and Research Interests- Write a Letter Lead - Be a precinct or district captain Lead - Coordinate booths, parades Lead - Fill open board position Lead - Run for office Skills - A/V and other equipment Skills - Computers Skills - Finances Skills - Photography
Volunteer other interests, skills, particular expertise, or suggestions:

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