Helen Gym for Mayor Petition Sign-Out Form
Petitioning starts Tuesday February 14, 2023 and ends Tuesday March 7, 2023. It's all hands on deck time and we need YOU! Call Salima 267-586-8272 or email Salima@helengym.com for more information.
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Name (First)
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Affiliation/organization/Individual 
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Email Address
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Phone#
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Address
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Will petition(s) be picked up from 1500 Walnut Street Philadelphia, PA 19107
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IF answer above is YES please give preferred PICK UP DATE & TIME between (February 13, 2023-March 3, 2023 9am-6pm)
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IF Answer above is NO please give address for drop off and time (February 13, 2023-March 3, 2023 9am-6pm) *
How many petition sheets are needed/did you take (20 per sheet)
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