Name:

Address:

City:

State:

Zip:

Email:

Day Phone:

Evening Phone:

Help sell tickets at fundraising events
I will make a campaign contribution
Stand at poll on election day
Label and stuff envelopes
Display a lawn sign
Advise of locations to display signs on commercial property
Build and deliver campaign signs
Distribute literature door-to-door
Build and deliver campaign signs
Make phone calls
Other, Please Explain


Paid for by the CTE Kathleen G. Galen for 38th District Court Judge 23801 Gratiot Ave., Ste. 8, Eastpointe, MI 48021