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Central Texas Ron Paul 2008 Meetup Member Questionnaire

Name:
Email:
Phone:
City:
County:
Zip Code:
Are You Registered to Vote?
Precinct #:
GOP Involvement? (Please check all that apply.)
Need to find out your precinct number?
Click Here for Travis County Online Lookup
Other counties, call your County Elections Office
Hover mouse here for Phone List -->
Skills / Talents / Assets I can apply
to grassroots campaigning:
I have these contacts who might help our campaign: (media, bands, RP-friendly businesses, etc.)
Type the security code
to the left of this text
in the space at right:
NOTE: INFORMATION YOU PROVIDE ON THIS FORM MAY BE SHARED WITH VARIOUS PLANNING COMMITTEES OR FOCUS GROUPS WITHIN THE CENTRAL TEXAS RON PAUL 2008 MEETUP GROUP. BY CLICKING SUBMIT BELOW, YOU INDICATE YOUR ACCEPTANCE OF THE AFORESAID FACT.