Tom Larson for Wisconsin State Assembly

Yes! I want to help elect Tom Larson to the Wisconsin State Assembly! Here is my contact information. (An asterisk denotes required information)

* First Name:

* Last Name:

* Street:

* City:

* County:

* State:

* Zip Code:

* Phone:

* E-mail:

Tom, I would like to help with your election effort in the following ways. (Please check all that apply) Add me to your email list: Yes Maybe Later Posting a yard sign: Yes Maybe Later Database entry: Yes Maybe Later Helping at parades/events: Yes Maybe Later Scheduling Tom to visit my service/civic club: Yes Maybe Later Using my name as an endorsement: Yes Maybe Later Hosting a fundraiser: Yes Maybe Later Helping with mailings: Yes Maybe Later Making phone calls: Yes Maybe Later Sending letters to the editor: Yes Maybe Later Distributing literature: Yes Maybe Later Purchasing a t-shirt: Yes Maybe Later Serving as a ward captain: Yes Maybe Later

Other Ways I'd Like to Help Tom's Campaign:

Paid for by Friends of Tom Larson for Assembly, Gerald Bauman, Treasurer