Telephone Volunteer Form

By submitting this form, you acknowledge that you will be available to spend a minimum of 3 hours per week making toll-free canvassing calls in support of Hillary Clinton. You also acknowledge that you will not use these phone scripts or toll free numbers to make support calls for Barack Obama, or to make negative statements about Hillary Clinton.

Information on this form will be kept strictly confidential. All form elements must be filled out. Your identity and activity as a Hillary Clinton supporter will be verified by us before we contact you with specifics.

Your First Name*:
Your Last Name*:
Your Email Address*:
Your City*:
Your State*:
Your Area Code & Phone Number*:
Are You A Democrat?*:
YesNo
Are You Voting For Hillary?*:
YesNo
To verify that you are truly a Hillary Clinton supporter, please tell us which online Hillary groups you belong to and your username in each group:*:
Verification*:
5 times 3 =   
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