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Mr.  Mrs.  Miss  Ms.  Dr.
First Name:* Last Name:*
Organization / Business: Phone Number:*
Address:* City:*
State:* Zip:*
E-Mail Address:*
I want to help in the following ways:
Place campaign sign in my yard
Distribute yard signs
Sign construction
Large sign location (4x8)
Make phone calls
Block walk
Assist at Gohmert for Congress Headquarters
Host reception or coffee
Use my name for endorsement purposes
I will work the polls
Other
Comments: