B E R K E L E Y D I S T R I C T 5
Your feedback, please.
YES
First
Name*
Host a Fundraiser Event in
My Home
Host a Neighborhood Coffee
or Reception
Help With Fundraising
Make Phone Calls
Walk My Neighborhood
Provide a Sign at My
Location
Last Name*
Street
Address*
City
Zip Code
State*
E-mail
address*
Telephone
Questions, comments, or feedback:
Cell
Want text updates
on your cell?
YES