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VOLUNTEER FOR MARK'S CAMPAIGN

First Name:
Last Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
E-mail:
Please select how you would like to volunteer:
Put a sign on my yard
Walk door-to-door
Host a house party
Write letters to Newspapers
Attend a fundraiser
Make phone calls for Mark
Help in the Headquarters
Help at Parades
Other - Please specify below
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To Find Out More Please Contact Us At:
Friends of Mark Poloncarz
2789 Union Road
Cheektowaga, New York 14227
716.393.3203
information@markpoloncarz.com

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Copyright 1998 - 2009