| Name: | ______________________________ |
| Address: | ______________________________ |
| ______________________________ | |
| Home Phone: | ______________________________ |
| Work Phone: | ______________________________ |
| Email: | ______________________________ |
| _____ | I will display a yard sign in my yard |
| _____ | I will make phone calls |
| _____ | I will distribute literature in my neighborhood |
| _____ | I will provide a large sign location |
| _____ | Other ________________________________________ |
|
Friends of Cliff Stearns P. O. Box 308 Silver Springs, FL 34489 |
| Paid for by Friends of Cliff Stearns |