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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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* Indicates required question
Name (First)
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Your answer
Affiliation/organization/Individual
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Your answer
Email Address
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Your answer
Phone#
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Your answer
Address
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Your answer
Will petition(s) be picked up from 1500 Walnut Street Philadelphia, PA 19107
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Yes
No
I have them already!
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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Your answer
IF Answer above is NO please give address for drop off and time
(February 13, 2023-March 3, 2023 9am-6pm)
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Your answer
How many petition sheets are needed/did you take (20 per sheet)
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1
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10
Other:
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