Would you like to help with the Walt Rogers for Iowa campaign or in the campaign office?
Fill out the form below and someone will contact you with more information!

Full Name:
Street Address:
City:
State:
Zip Code:
Daytime Phone:
Email Address:
What is the best way to contact you? Phone

Email
In what capacity are you interested in volunteering? Please check all that apply. distributing literature

registering voters

general data entry

making phone calls

distributing yard signs
 going door to door

driving/giving rides

fundraising events

walking in parades

any of the above
What day of the week would you most likely be available to volunteer? Monday

Tuesday

Wednesday

Thursday

Friday
 Saturday

Sunday
What time of day is usually best? Weekday Weekend
8 a.m. - 12 p.m.

12 p.m. - 5 p.m.

5 p.m. - 8 p.m.

8 p.m. - 12 a.m.		 8 a.m. - 12 p.m.

12 p.m. - 5 p.m.

5 p.m. - 8 p.m.

8 p.m. - 12 a.m.
Do you have any questions or comments?

Leadership, not politics.
Paid for by Walt Rogers for Iowa
Cedar Falls, Iowa 50613
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