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VOLUNTEER


Help Paul Move Adams County Forward.
Volunteer Sign-up Form 

√ Yes, I want to volunteer to move Adams County forward by helping to elect Paul for Adams County Commissioner in 2012!

Thank you for taking the time to complete this volunteer survey. Check off or fill in your fields of interest below. Your information will become part of a database that will not be shared with people outside our campaign team. We will use this information to help us plan an effective campaign. I am grateful for your support. –Paul Worley
* Required

Name: *
Address:
Home Telephone:*
Cell Phone:
Best Time To Call:
  • Morning
  • Afternoon
  • Evening

Email: *

How Would You like to help?


Check All municipalities Where You Are Willing to Help:
  • Franklin Township
  • Liberty Township
  • Scott Township


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*In an effort to reduce computer-generated spam please ADD TOGETHER (sorry to make you do math) the two red security codes above. Answering this easy math problem helps us know that an actual person is submitting this information!(required)

Thank you!