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Please Help Us Turn Medina County Blue. Let us know how you can help by filling out the form and choosing from the volunteer cateogries below.

Most fields are optional. For example, if you would like periodic email updates, then provide an email and indicate your areas of interest. If you want us to contact you directly, then provide your name plus a phone or email.
A few fields are required, we marked them with a *

Your Information

* First Name

Middle

* Last

*Organization

Title

Address and Contact Information

* Address

* City

* State

* Zip

Preferred Phone

Best Time to Call

Home Phone

Office Phone

Mobile Phone

* Email

* Confirm Email

Volunteering

Please describe your availability.

What jobs would you be most interested in?

Be a Neighborhood Leader	Delivering yard signs
Distributing literature	Hosting a fundraiser
Hosting a house party	Making phone calls
Working at Headquarters	Working at polling places

Be sure to identify any special skills you can offer.

Areas of Interest

Please tell us more about yourself.

What areas are you interested in knowing more about?

Check this box if you prefer email in HTML format

Issues

Agriculture	Budget Deficit
Candidates	Civic Participation
Civil Rights	Crime and Justice
Economy	Economy & Jobs
Education	Environment
Executive Power	Foreign Policy
Getting Our Fair Share	Health Care
Homeland Defense	Immigration
Iraq War / Peace Events	Minimum Wage
Rural Issues	Seniors
Social Security	Supreme Court
Taxes	Values
Veteran Affairs	Women's Rights
Working Families

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