Volunteer  e-Newsletter and Volunteer Sign-Up

*Required Fields
Salutation  
*First Name:       *Last Name:   
Spouse's Name:  
    
*Address:      Apartment/Unit:   
    
*City:        *State:     
*ZIP Code:   
*Email:   
Home Phone:  Work Phone:  Fax:    
Mobile/Cell:   
Age:   
Preferred Contact:  Email   Fax   Mail   Phone
Spoken Languages:  English   Spanish   Other

Yes. Send me the latest information via email from the Ignacio Velázquez for California State Assembly campaign.

Preferred Email Format:
   HTML    Text


Volunteer (Check all that apply.)

I would like to help the Ignacio Velázquez for California State Assembly campaign by:
   Helping register new voters at events
   Making phone calls for the campaign
   Writing letters to the editor
   Helping with tasks like mailings at HQ
   Putting a campaign sign in my yard
   Other


Coalition Group (Check all that apply.)
   College Clubs
   Educators
   Ethnic
   High Tech
   Military
   Religious
   Seniors
   Sportsmen
   Veterans
   Young Professionals
   Youth

                                                   

© 2006, Ignacio Velázquez, All Rights Reserved.
Paid for by Velázquez for Assembly.