Volunteer Contact Form
*Name:
*Email:
Employer:
Occupation:
Address:
 
City:
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Zip:
Home Phone:
Work Phone:

I am contributing $ .
Contributions are limited to $ per person. Please make checks payable to Citizens for Ralph Jones.

Please send contributions to:
Citizens for Ralph Jones
P.O. Box 681
Fayetteville, NY 13066
I will help the campaign in the following ways:
Display a yard sign Run errands
Host a coffee or party fundraiser Phone Voters
Walk in the District for Ralph Jones Raise contributions
Volunteer to Get Out The Vote Send postcards to friends
YES! I support Ralph Jones and will allow my name to be used in the campaign.
YES! I support Ralph Jones, but prefer my name NOT be used in the campaign.
Additional comments

Thank you for your support!

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