Your Name:    

Other Voters at this
Same Address:

Street Address:

City/Zip:           

Mailing Address:

City/Zip:            

Phone:             

Cell Phone:     

E-Mail:             

Will you volunteer to help?

Circulate Petitions:                    Yes             No

Make Phone Calls:                    Yes              No

Tend Petition Booth:                 Yes              No

Help with Mailings:                   Yes              No

Place a "Stop Hi-Desert Money
and Water Grab" sign on your
property?                                  Yes              No

Address to Place Sign: 

Speak at HDWD Board
Meetings During Public
Comments to Protest?               Yes              No

Deliver Flyers?                          Yes              No

Other:              

Comments: