Print this form on your printer

Print this form on your printer, fill it out, and then mail it to:

Committee to Elect Kate Toomey
50 Ideal Road
Worcester, MA 01604

Name__________________________Home Tel__________Work Tel____________

Street_________________________City/Town___________________ZIP________

Kate, I am willing to help in the following ways:

___Stand with a sign ___Walk Door-to-Door with Kate ___Volunteer my time	___Work at the polls ___Host a house party ___Post a sign on my lawn	___Send letters ___Put a bumper sticker on my car Other____________________

I will be glad to make a contribution to your campaign:

     ___$10  ___$15  ___$25  ___$50  ___$100  Other________

Make checks payable to: Committee to Elect Kate Toomey