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* 1. Name

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* 2. Email

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* 3. Contact phone number

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* 4. Would you be keen to assist with any of the below Co-Ordinator Roles?

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* 5. Can you assist with letterboxing campaign materials?

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* 6. Which of the below days can you assist with Street Stalls (Between 8:30am to 11:30am)?

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* 7. Which of the below days can you assist with Phone Banking (Anytime between 5:30pm to 8:30pm)?

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* 8. Which of the below days can you assist with Door Knocking (Anytime between 1:30pm to 5:30pm)?

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* 9. What hours can you assist on Election Day (Saturday 25th March)

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* 10. Can you host a corflute?

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* 11. Is there any other way you would like to help?

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