Volunteer to Help Steve Berke

Volunteer Form

Yes, I am ready to help Steve get elected Mayor of Miami Beach!
*Required
*First Name:
*Last Name:
*Address 1:
Address 2:
*City:
*State:
*Zip Code:
*Home Phone:
Work Phone:
Fax:
*Email:

Available Days:Available Hours:
  MondayFrom:
  Tuesday
 AM   PM
  WednesdayTo:
  Thursday
 AM   PM
  Friday
  Saturday
  Sunday

Please let us know how you can help Steve get elected. I would be interested in:
  Hosting a Fundraiser for Steve
  Hosting a Neighborhood Townhall for Steve
  Helping with Voter Registration
  Making Phone Calls
  Serving as a Neighborhood Captain
  Walking Door to Door
  Writing a Letter to a Newspaper Editor for Steve
  Requesting a Lawn Sign
  Allowing Steve to Use My Name in Local Endorsements
  Attend walks
  Or if there is any other creative way you would like to help Steve, please describe so in the comments below:

Comments for Steve: