McKelvey For Congress

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Get Involved

Get Involved!

Please take a few minutes to fill out this form to let the McKelvey Team understand how you want to help. Thank you!

Tell us who you are.

First Name

First Name :: Enter your first name.

Last Name

Last Name :: Enter your last name.

What do you prefer to be called?

What do you prefer to be called? :: Input how you would like to be addressed. Examples: Mr. Smith; Mrs. Jones; John; Sarah; CJ, Buddy. This can be anything

Tell us where you live.

Street

Street :: Enter you street address. If you need a second line just enter it after a semicolin (;).

City

City :: Enter the city you live in.

State

State :: Enter your state postal abreviation. Exampl VA=Virginia, FL=Florida.

Zip Code

Zip Code :: Enter your 5 digit zip code.

County

County :: Select the county you live in.

Internet

Email Address

Email Address :: Enter your email address.

Alternate Email Address

Alternate Email Address :: Enter an alternate email address if you wish.

Website

Website :: Please enter the URL of your primary website or blog.

Other Website

Other Website :: Enter another website or blog you have here.

Telephone

Home Phone

Home Phone :: Please enter your home phone number

Work Phone

Work Phone :: Enter you work phone number.

Mobile Phone

Mobile Phone :: Please enter you mobile phone number.

I prefer to be called on my:

Home Phone
Work Phone
Mobile Phone
Mobile Phone

I prefer to be called on my: :: Choose the prefered phone number you want us to use.

Other Phone Info:

Other Phone Info: :: Please tell us any other infomation about times you will accept calls and when you will not.

What would you like to volunteer to do?

Please check the boxes for which you would like to volunteer to do.

Canvas a neighborhood.

Host a house party.

Make phone calls.

Work a phone bank from an office.

Work in a campaign office as a volunteer.

Write letters to the editor of my local newspaper

Write articles on my blog or website.

Put a sign in my yard.

Put up signs in my area.

Attend events.

I would like to invite Jim to speak at my club, church, organization, or business.

I would like to attend the 5th district convention as a delegate for Jim McKelvey.

I would like to donate advertising on my website or blog.

I would like to donate money.

Tell us why you support Jim

Please, tell us in your own words why you support Jim McKelvey.

May we publish this?

Yes
No
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