Mr. or Ms.*
Mr.
Ms.
Mrs.
Dr.
Rev.
Hon.
First Name*
Middle Initial
Last Name*
Email address*
I want to receive campaign updates
through this email address
Address*
City*
State*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip code*
Daytime phone*
Call first
Evening phone*
Call first
Pager or cellular
Call first
Fax number
How did you hear about this campaign website?*
Campaign letter or flyer
Yard sign
Colleagues at work
E-mail message
Friends and family
From another website
Newspaper or magazine
Campaign phone call
Radio
Television
Other
Please tell us how you can help the Evans For Indy Campaign
(Check all that apply)
On Election Day:
Outside the polls for J.M. Evans
I'll vote for J.M. Evans
Anytime:
I'll talk to friends and neighbors about J.M. Evans
I'll take an "Evans for Indy " yard sign for my front lawn
I'll help with mailings
I'll attend an "Evans for Indy" rally in my area
I'll distribute flyers in my neighborhood
I'll do volunteer work at campaign headquarters
I'll serve as a block captain for the campaign
Availability:
Mornings
Afternoons
Evenings
Saturdays
Sundays
Flexible
Please tell us a little about yourself (optional)
I have worked on a campaign before
I am self-employed
I am a student
I am retired
I am a member of a labor union
I want information on registering to vote
Occupation
We'd like to hear about your special skills or interests