Clinton/Gore '96

What You Can Do

Supporter Information
Thank you for taking the time to volunteer for the campaign. The information you provide below will be given to the Clinton/Gore office in your state so that they can contact you and include you in our "get out the vote" effort in the final weeks of the campaign.

As we approach election day, you may also want to contact the Clinton/Gore office in your state directly and offer your help in these final crucial days of the campaign. Thank you again for your support.



First: Middle Initial:




State: Zip:

Home: Fax:
Office: Email:

Are you registered to vote in a state other than the one listed above? Yes No

Do you hold a position in any state or county Democratic Party organizations?

Yes No

Are you willing to volunteer to organize Clinton supporters in your precinct?

Yes No

Which of the following would describe you? (OPTIONAL)
Clergy Senior Citizen
Military Veteran Law Enforcement
Small Business Owner Republican
Student Gay/Lesbian
Elected Official Teacher
Environmental Group Member Union Member
Person with Disability Independent

Are you interested in participating in any of the following organizations? (OPTIONAL)

Adelante con Clinton
African-American Leadership Council
Women for Clinton/Gore
Rural America for Clinton/Gore
Asian-Americans for Clinton/Gore
Clinton/Gore Jewish Leadership Council
Republicans for Clinton/Gore

Would you like to be on the the mailing list? Yes No

Paid for by Clinton/Gore ’96 General Committee, Inc.