Election Day Volunteer- May 17

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Please fill out the information below about your availability to work at a Polling Location. We will then contact you with information on the location and literature. Philly Neighborhood Networks thanks your help in this election.

Name *

Email address *

Telephone Number (cell phone for contact on E Day) *

Address (to determine Ward, Div, & Polling Location)

I am available to be at a Polling Location on May 17:

7 AM - 10 AM

11 AM - 3 PM

5 PM - 8 PM

Other:

Other Times I'm available:

I'm available for the following locations: *

My Polling Location where I vote

Other Polling Locations as needed

Required

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