Getting the word out is a very expensive endeavor.
Please know that a donation of any size is greatly appreciated and welcomed.
 

* Required by campaign election law.

 
*Name

  _____________________________________________________

*Address

  _____________________________________________________

*Address 2

  _____________________________________________________

*City   _____________________________________________________
*State   _____________________________________________________
*Zip   _____________________________________________________
Home Phone

  _____________________________________________________

Cell

  _____________________________________________________

*Email

  _____________________________________________________

*Email confirm

  _____________________________________________________

Preferred method of contact

  __ phone        __ cell              __ email

Best time to contact

  __ morning     __ afternoon     __ evening

 

  __ weekday    __ weekend

 

Would you like to be a part of the Balzotti Team? You could help by:

Displaying a lawn sign in your yard or window __ Holding signs at a visibility event __
Placing a window cling on your vehicle __ Writing and sending Dear Friend cards __
Walking in your neighborhood with Linda __ Helping at Campaign Headquarters __
Sponsoring a coffee hour __ Helping on Primary/Election Day __
Phoning voters from home __ Providing a ride to the polls on Primary/Election Day __
Participating in a phone bank __
       

When would you be available to help?

Weekdays - day __ Weekdays - evening __
Weekends - morning __ Weekends - afternoon __
Weekends - evening __ Various - call when you need help __
 
Would you like to be added to our
Email Alert list?

  __ Yes, please        __ No, thanks


Please print and complete this form and mail it with your check to:

The Balzotti Committee
10 Felton Street, Unit 304, Brockton, MA  02301

No corporate checks please.
Occupation and employer name are required when
donating $200 or more in a calendar year.
Contributions are limited to $500 per individual per year.
 

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