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Getting the word out is a very
expensive endeavor.
Please know that a donation of any size is
greatly appreciated and welcomed.
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*
Required by
campaign
election law. |
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*Name |
_____________________________________________________ |
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*Address |
_____________________________________________________ |
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*Address 2 |
_____________________________________________________ |
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*City |
_____________________________________________________ |
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*State |
_____________________________________________________ |
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*Zip |
_____________________________________________________ |
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Home
Phone |
_____________________________________________________ |
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Cell |
_____________________________________________________ |
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*Email |
_____________________________________________________ |
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*Email confirm |
_____________________________________________________ |
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Preferred method of contact |
__ phone
__ cell
__ email |
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Best time to contact |
__ morning __
afternoon
__ evening
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__ weekday __
weekend |
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Would
you like to be a part of the Balzotti Team? You could help by: |
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Displaying a lawn sign in your
yard or window |
__ |
Holding signs at a visibility event |
__ |
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Placing a window cling
on your vehicle |
__ |
Writing and sending Dear Friend cards |
__ |
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Walking in your neighborhood
with Linda |
__ |
Helping at Campaign Headquarters |
__ |
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Sponsoring a coffee hour |
__ |
Helping on Primary/Election Day |
__ |
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Phoning voters from home |
__ |
Providing a ride to the polls on
Primary/Election Day |
__ |
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Participating in a phone bank |
__ |
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When
would you be available to help? |
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Weekdays - day |
__ |
Weekdays - evening |
__ |
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Weekends - morning |
__ |
Weekends - afternoon |
__ |
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Weekends - evening |
__ |
Various - call when you need help |
__ |
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Would you like to be added
to our
Email Alert list? |
__ Yes,
please __ No,
thanks |
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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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