Mike Goebel for State Representative Volunteer Form

You may submit the following information in one of two ways:

1. Complete this form online and transmit the information to us electronically by pressing the submit button; or
2. Print and mail it to: Friends of Mike Goebel, P.O. Box 6801, Evansville, Indiana, 47719. If enclosing a contribution, please make your check payable to "Friends of Mike Goebel."

Mike, I want to help. You have my full support and I will (please check all that apply)

Vote for you on November 2, 2010
Host a reception
Volunteer for the campaign
Make a list of 20 friends who I will commit to get to the polls.
Make telephone calls
Help put up signs in the district

Distribute literature
Display a campaign sign at my home
Display a campaign sign at my business

Other (Please describe): (Enter text here)

Make a contribution: $20 $25 $50 $100
Other - Specify amount $

Please make check payable to "Friends of Mike Goebel." Corporate Contributions can not be accepted. There are no contribution limits.

Name
Address
City	State	Zip
Phone
Email Address

Mike Goebel for State Representative Volunteer Form

Thanks for your support!

Friends of Mike Goebel
P.O. Box 6801
Evansville, Indiana 47719

Mike Goebel for State Representative Volunteer Form

Thanks for your support!

Friends of Mike Goebel P.O. Box 6801 Evansville, Indiana 47719

Friends of Mike Goebel
P.O. Box 6801
Evansville, Indiana 47719