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PHONE BANK VOLUNTEER SIGN UP FORM

Thanks for joining the fight for health care for all! It's great volunteers like you who power our campaign for universal health care. Please fill out the necessary contact information, and let us know when you're available to help out!

Thank you for all that you do.

-Adam, Michael and Kate
DFA Field Team

Please select the dates below when you are able to volunteer:
May 19 (Tuesday)
May 20 (Wednesday)
May 21 (Thursday)
May 22 (Friday)
May 23 (Saturday)

Please tell us what time is best for you to volunteer:
Morning (10am-12pm)
Afternoon (12pm-5pm)
Evening (5pm-8pm)

Please include any other information you'd like to include about volunteer below.

* marks required fields

First Name

Last Name

Email Address

Zip Code

Phone Number


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PHONE BANK VOLUNTEER SIGN UP FORM