Your Name:    

Other Voters at this
Same Address:

Street 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 Yucca
Mesa Annexation"
sign on your property?  Yes              No

Speak at Yucca Valley
Town Council Public
Comments to Protest?   Yes              No

Deliver Flyers?              Yes              No

Speak @ LAFCO                       
Hearing in San
Bernardino*                   Yes              No

Will Attend LAFCO         
Hearing                          Yes               No

Can You Drive Carpool
to LAFCO HEARING?      Yes              No

Will Attend LAFCO
Hearing, but need ride   Yes              No

Other:              

*THE LAFCO Hearing date has not yet been set by LAFCO.  IT IS IMPERATIVE THAT EVERYONE ATTEND THIS MEETING.  THE FUTURE OF YUCCA MESA AS WE KNOW IT IS AT STAKE.

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