Friends of Marc Stier

Name:______________________________________

Mailing Address_________________________________

City__________________________  State___________  Zip____________

Email________________________________________________

Do you want to be added to the campaign email list? Yes______  No_______

Your employer____________________________________________________

Home phone_____________________       Work Phone__________________

 

Contribution amount:_____________________

Volunteer Opportunities: We urgently need your help on the campaign. Please check off all the areas where you can help.

Circulating petitions_____                  Putting up posters____

Hosting a house party____                 Distributing literature____

Putting up a lawn sign____                 Campaigning door to door with Marc Stier_____

Make phone calls________                Work at the polls________

When are you generally available to volunteer?____________________________

Please return this form to:

Friends of Marc Stier
P.O. Box 18856
Philadelphia, PA 19119

Thank you very much for your support,

Marc Stier