Elect Curtis Thiel Contribution Form

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Political contributions in excess of $100 require the following additional information:
Occupation
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Contribution Amount

USD Elect Curtis Thiel Campaign

Yes! I want to elect Curtis Thiel and am willing to help with the following:

You may use my name as an endorsement Host a coffee/campaign reception Display a yard sign Volunteer to help Distribute literature to my neighbors Make phone calls Sign Waving Distribute Signs Door Belling
Should be Empty: