Co-sponsored NOPE, Diversity Declaration, and Indivisible MoCo Canvass for Josh Cole on October 19

Please complete this short form to help us organize the canvass. A canvass organizer will then follow up with you by email before the event. Select the box at the bottom of the form to receive an email confirmation with your signup information (RECOMMENDED).

First Name*

Last Name*

Email*

You will receive follow up email from the canvass coordinator.

Phone Number*

Please confirm your cell phone number.

Canvass Details

We’ll convene at 9:30 am at the launch site located at 618 Kenmore Ave, Fredericksburg, VA 22401 -- please allow a minumum of 1 hr 35 min for the drive time from northwest DC. You'll receive additional information about the canvass shortly before the event. The canvass leaders are Dale Kaufmann and Debra Fried Levin.

Would you like to be supported by an experienced canvass partner?*

Yes

Have you ever used MiniVan?*

Yes

About getting to the launch location:*

I need a ride

I'm happy to drive and can take one or more passengers

I'm flexible - I can ride, or I can drive and take one or more passengers

Count me out of carpooling - I'll see you at the canvass launch

If you need a ride or can offer one, what neighborhood are you coming from?

If you can take passengers, how many can you take?

Questions?/Comments?

Any questions? Please note them below and we'll get back to you.

Send me a copy of my responses

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