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Volunteer Questionnaire

Please note that the Name and Email Address fields below are required.
Your Name (required):
Street Address:
City, State, and Zip Code:
County:
Daytime Phone Number:
Evening Phone Number:
Email Address (required):
I'm a member of:
Are you registered to vote? Yes No
Are you registered to vote as a Libertarian? Yes No
Approximately how many hours per week do you expect to be able to help with the campaign? Less than 2
Between 2 and 10
Between 10 and 40
40 or more
Would you like to subscribe to the Kubby-Volunteer email list?
(This is a high-volume email list for alerts and information about volunteer projects. To subscribe to the lower-volume Kubby-Announce list, please scroll down to the form below.) 		Yes No
What experience, skills, talents, or other assets do you have that might help Steve's campaign?
   
   


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 Kubby Defense Fund
Monarch Bay Plaza, Box 375
Dana Point, Ca 92629-3424

Web: http://www.kubby.com | Email: steve@kubby.org

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