I would like to:   Use My Name as a Supporter   Put Up a Lawn Sign   Volunteer   Go Door to Door for Teddy   Make Phone Calls   Write Letters   Hold a House Party or Coffee   Be an Issues Researcher Name*: Address: City/State/Zip: Phone: E-mail*: What is most important to you?   Universal Health Coverage   Cleaner Environment   Better Schools   Tax Reform   Protect a Woman's Right to Choose   Full Marriage Equality   Right to Organize   Transportation Alternatives   Promote Family Wage Jobs   Affordable Housing   Other: Comments: *REQUIRED FIELDS

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