Peggy Nash for Parkdale-High park NDP

Help send Peggy Nash to Ottawa!

We need volunteers to help take the Elect Peggy Nash campaign to the people of Parkdale - High Park.

Fill out this online form indicating a bit about yourself and what you would like to do to help the campaign, and we'll be in contact with you asap!

Name:
Address:
Postal Code:
Home Phone:
Work Phone:
Cell Phone:
Email:

Are you a Party Member?	Yes No
Will you take a sign?	Yes No

What volunteer tasks would you like to do?
Drop leaflets door to door
Canvass door to door (talk with voters)
Canvass with Peggy
Phone volunteers
Canvass by phone (talk with voters)
Work in the campaign office
Other

Do you have a valid driver's license?	Yes No
Do you have access to a car / truck / van?	Yes No
Do you have a PC computer at home?	Yes No
Are you comfortable with:	Email Word Excel Filemaker Pro other program:
Do you speak any langauges other than English?
Have you made a donation to our campaign?	Yes No
Are you planning to make a donation to our campaign?	Yes No

Please add any additional notes::