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ˇVoluntarios!

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Name

Work Phone ( ) -

 

 Home Phone ( ) -

RESIDENTIAL ADDRESS

   

Street

City

Zip


MAILING ADDRESS (If different than residential)

 

Street

City

Zip

E-Mail Address

 

WHAT WOULD YOU PREFER TO SERVE AS?
(Click on the position to view a description)

 

Clerk

Coordinator

 

A-Team

Collection Center Worker

Election Night Tally Center

 

I am available to serve on:

November 2, 2010

 
     


DO YOU SPEAK A LANGUAGE IN ADDITION TO ENGLISH?

Spanish      Vietnamese      Korean      Mandarin      Taiwanese     
Cantonese Other


ARE YOU A REGISTERED VOTER IN ORANGE COUNTY?
yes      no


If not, and you live in Orange County, click here


Comments:


 

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