Name________________________
Address____________________________
Phone________________________
Email________________________
Special Interests ________________________________________________________
Areas I’d like to work in
Community
Outreach Literature
Distribution Yard
Sign Distribution
Precinct Captain Ward
Captain Collecting Signatures
Emailings Phone Calls Mailings
Fund Raising Honk n’ Waves Get Out the Vote
Attend Events Event
Organizing Working at Events
Web Site Upkeep
Other_________________________________________________________________
I support Brian Garry for
Cincinnati
City
Council and I would like to give a Financial Donation
ð I will give a financial donation of $______.____
ð Cash ð Check