Politics
Phone Bank Volunteer Form
YES. Please sign me up to be a DC 37 Political Action and Legislation Phone Bank Volunteer.
Print and mail coupon to: District Council 37
Political Action and Legislation
125 Barclay Street, Room 408
New York, NY 10007
Or Fax Coupon to (212) 815-1553
Last Name ________________________ First Name_______________________
Address __________________________________________ Apt. # ___________
City ________________________ State _________ Zip Code ________________
Home Phone ( ____ ) _______________ Work Phone ( ____ ) _______________
E-mail ____________________________ Cell Phone ( ___ ) _________________
Work Schedule: Days ___________ Hours: From ___________ To ____________
Job Title _____________________________ Local ________________________
Agency ___________________________________________________________