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 About Hayward Benson | Benson's Priorities | Campaign News | Get Involved


Get Involved

To volunteer or contribute to the Campaign, 
please complete the following form:

Yes, Hayward,  you can count on me!

 Note: Fields marked with an asterisk (*) are required.


I would like to Volunteer to
Work with the Campaign 

Host a reception in my house

Place a yard sign in my yard

Authorize the use of my name and/or image in any and all advertising in support of your campaign

Other:
     

* First Name:

* Last Name:
*Address 1:
Address 2:
*City:
*State: 
*Zip Code:
*Home Phone:
Work Phone:
Fax Number:  
E-mail:


I would like to Contribute:

To make a contribution, please complete and print this entire form and mail it along with your check made payable to Hayward Benson Campaign to 

                                                      4410 N.W. 67th Terrace
                                                      Lauderhill, Florida 33319

NOTE:  If your contribution exceeds $100, we must collect your occupation information below:

Occupation:
Employer:   

Maximum Contribution is $500 per person or corporation.

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