Yes, I'd like to help keep Dennis Power working for White Plains!

First Name:      Last Name:

Address:      City:      State:      Zip:

Home Phone:      Work Phone:      Cell Phone:

I'd like to volunteer to (check all that apply)...

Host a House Party             Help With Mailings               Deliver Door-To-Door Materials

Help With Fundraising         Help With Letter Writing       Walk With Him in Neighborhood

Other (please explain) 

My particular area(s) of interest/expertise:

Additional Comments: