Tom is committed to work relentlessly every day until the November 2008 election to reach out to all voters in Coral Springs. He can really use your assistance to get the word out and lend a hand to the campaign.

Please fill out the form below to let us know how you would like to assist. There is a place for everyone to become involved with the Powers For Coral Springs campaign and we are excited to hear from you.

You must fill out the entries in red. Other entries are optional. Thanks again for your support in our efforts.

Full Name Home Phone
Home Address Cell Phone
City Other Phone
State EMail Address
Zip Code    
       
I can assist in the following way(s). Please check any boxes that apply.
       
I will host a reception, or "Coffee for Tom" I will help with mailings
I will host or help with another fundraising event I will wave signs
I will arrange for Tom to speak at an event I will put up signs at home or business
I will donate professional services (legal/accounting, advertising, publishing, video, etc) I will offer business resources (phones, meeting places, equipment, etc.)
I will help with phone calls Other - please specify below in comments
       
Other Comments