Please provide the following contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State
Zip Code
Home Phone
Work/Cell Phone
E-mail

My volunteer strong-points are (check all that apply)
All-Around Volunteer
Fundraising
Lists (getting and updating)
Data processing
Internet skills
Driving (what area of Maine?)
Mailings
Accounting
House Party Host
County Coordinator
Volunteer Coordinator
Scheduling, Events Coordinator
Researcher
Media watcher (your local paper)
Other
  Yes, I am willing to have my name and town added to your public list of supporters

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