| Contact Information: for Responses,
Updates, News, and
Notices |
| Name: |
|
| Street Address: |
|
| City: |
Zip: |
| Phone: |
|
| Fax: |
|
| Email: |
|
| Best way to contact me:Email Post Fax Phone |
Please keep me informed with:
Weekly Updates Notices
of major updates and breaking news as they occur |
| Political Party:Democrat Republican
Other: Not
Registered |
| County:
Municipality: Ward:
Voter Dist.: |
| Participation
Opportunities |
| Would you like to help PANDA? Yes Maybe No |
Things I might like to do to help PANDA?
Organization
Website maintenance Graphic
arts and material prep. Phone
Polling
Line up speaking engagements,
etc. Office management
and tasks.
Issues:
Writing - position
papers, letters to newspapers, etc. Research,
etc.
Speaking - presentations,
events, etc.
Campain Assistance:
Collect candidate
petition signatures (to place names on the ballot)
Putting up signs Working
polls on election day, etc.
Other Help: |
| Questionnaire |
Do you agree with the present direction of southwestern
Pennsylvania's leadership?
Completely Mostly Somewhat Not
Much Definitely
Not |
How likely are you to vote in the coming
election?
Definitely will Probably
will Unsure Unlikely Will
not |
Would knowing of local candidates who support the PANDA
platform make you more
likely to vote in the coming election? Definitely Probably No
Difference |
| Are you running for office? Yes Strongly
Considering 50-50
Wish I could,
but probably won't Definitely
Not
|
Does having the option of the PANDA platform make it
more likely you might run
for county or municipal office? Yes No |
Are you working with a campaign?
Yes Plan
to No plans yet,
but willing to No and won't |
| Suggestion
Box for Comments and Questions |
| For a response, leave contact
info above |
|
| Donations |
Financial contributions and in-kind donations
may be made to PANDA.
Check donations may be sent to:
PANDA
720 Allegheny Building
429 Forbes Avenue
Pittsburgh, PA 15219
For more information call: 412-343-6177
- or -
FAX: 412-765-2704
Or email us at: pandapage@comcast.net
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