Name:    

Address:

City:           Province:

Postal Code:

Home Phone:

Business Phone:

Email Address:

Please list any relevant experience (Office work, campaign work, etc) and skills (Telephone, computer, filing, etc.)

What would you be interested in helping us with?

Mailouts                     Door knocking with Rob    Filing

Deliver Literature        Databasing/Data Entry        General Office

Phoning                      Open House/Town Halls     Grassroots Coordination