Join the action!

Please tell us about yourself and how you want to get involved.

Contact Info

First name:
Last name:
Address 1:
Address 2:
City:
State:
Zip:
Primary phone:
Secondary phone:
Primary email:
Secondary email:
Would you like to receive an email newsletter with updates about the Obama campaign in Rochester?	Yes

Rochester For Obama Involvement

Please select any/all of the following ways in which you may be interested in supporting Rochester For Obama:
Making phone calls to other Obama supporters
Making phone calls to voters
Going door-to-door
Helping at a local event
Attending a rally or fundraiser
Staffing the Rochester for Obama office
Helping with publicity and communication
Traveling to nearby swing-states
Making a monetary donation to the national campaign
Making a monetary donation to Rochester for Obama (to support local efforts, activities, visibility, etc.)
Other (please specify)

Skills

Please list any particular skills you have which you’d like us to know about:

Grassroots Support

Are there any goods or services that you may be able to provide to support the efforts of Rochester For Obama?
Printing services
Design or layout of flyers or literature
Food and beverages
Computer or communications devices or services
Advertising space or other PR/advertising resources
Transportation
Space for a meeting or gathering
Other (please specify)

Online affiliations

Are you a member of the Rochester For Obama yahoo group?
Comments:
Are you registered on the website BarackObama.com?
Comments:
Are you a member of the Rochester For Obama group on the BarackObama.com website?
Comments:

Targeted Groups

Please select any/all of the following targeted groups in which you may have an interest:
Women for Obama
Students for Obama
Educators for Obama
Labor for Obama
LGBT for Obama
Faith Community for Obama
Latinos for Obama
Republicans for Obama
Independents for Obama
Democrats for Obama
Veterans for Obama
Pets for Obama
Other (please specify)

Additional comments