Mail coupon to: DC 37 Political Action Dept., 125 Barclay St.,
Room 408, New York, NY 10007. Or fax to: 212-815-1553

YES, I would like to volunteer for Election Day, Nov. 7 in:

Queens Brooklyn Bronx Manhattan Staten Island

From: 6 – 10 a.m. 4 – 8 p.m.

Last Name ___________________ First Name ________________

Local ___________________________________________________

Address ________________________________ Apt. # __________

City __________________ State ______ Zip Code _____________

Home Phone ( ___ ) _________ Work Phone ( ___ ) __________

For more information, call the Political Action Dept. at 212-815-1550.