Volunteer
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
(Please check all that apply):

I'm voting for Russ in this Fall's election!
I'm registered to vote in Missouri at my current address
I'm interested in receiving emails
I'd like a yard sign
I'd like a bumper sticker
I'm interested in writing a letter to the editor
I'd like to attend an event
I'd like to volunteer
I want to make a contribution
The most important issues to me are (Please check all that apply):

Education
National Security
Jobs
Economy
Environment
Energy
I'd like to join the following groups (Please check all that apply):

Environmentalists for Russ
Seniors for Russ
Hunters for Russ
Students for Russ
Republicans for Russ
Veterans for Russ
Women for Russ
Young Professionals for Russ

Paid for by Russ Carnahan in Congress Committee, Lawrence Giesing, Treasurer
Russ Carnahan in Congress
7000 S. Chippewa, St. Louis, MO 63119
Phone: 314.752.2010 - Fax: 314.752.2019