Sign Up to be a Patricia Lightner Precinct Captain
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1. Patricia Lightner Precinct Captain Sign - Up

Please fill out the following information regarding becoming a Precinct Captain for Lightner for Congress!

Please provide us with your contact information so we can identify what precinct you are in and get in touch with you! Thank you! Name:
Address:
Address 2:
City/Town:
State:
ZIP:
Email Address:
Phone Number:

Would you be willing to serve as a Precinct Captain in your particular precinct? Yes

Maybe

Would you be willing to cover more than one precinct? (such as neighboring precincts to where you reside) Yes

Maybe