| Name |
* |
| Res Phone |
|
| Cell Phone |
|
| Email Address |
* |
| Volunteer base |
Oakville
Burlington
Milton
Rural
|
| Availability |
Days
Evenings
Weekends
Anytime
|
| I will be away from |
to |
| |
|
| Volunteer activity |
|
| Signs |
I have a truck/van or suv: Yes No |
| Door knocking |
|
| Literature Drops |
|
| Phoning |
|
| Data Entry |
|
| Campaign Office |
|
| Election Day |
|
| Driver |
|
| Scrutineer |
|
| Other (please describe) |
|
| |
|
| Comments |
|
| |
|
| |
|
| ( *
Required ) |
|