Please print out this form and mail to

Grassroots for Greene
406 Morgan Creek Road
Chapel Hill, N.C. 27517

To help Sally's campaign, I am happy to

Contribute a check for $ (maximum $100).
                 Make payable to Grassroots for Greene.

     Your occupation
     Your employer

                      (Required by state and local campaign financing laws. Corporate contributions are prohibited by law.)

Subscribe to Sally's listserv.
     email address
     Your email address will never be used for any other purpose  and will not be transferred or sold to a third party, ever.

Allow my name(s) to be used in print endorsements of Sally's campaign.
     Please write my name(s) as



Host a neighborhood party.
Help with canvassing/distributing brochures.
Post a campaign sign in my yard.
Write a letter to the editor.
Help in some other creative way:

I'd like to ask Sally to think carefully about the following issues:





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