SUPPORT RUSS

First Name*
(Required)
Last Name*
(Required)
Address
City
State
Zip Code
Your Email
Work Phone ext.
Home Phone
Add to our mailing list? YES NO
I would like to serve on Russ' Steering Committee? YES NO
You can use my name on an endorsement. YES NO
I will host a "GET TO KNOW RUSS" meeting at my house. YES NO
I would like a 4 X 4 fence sign. YES NO
I will walk my neighborhood. YES NO
I will work the polls on election day. YES NO
Comments
Email Russ

Pol. Adv.paid for by Russ Molenaar for Hays County Commissioner, Pct. 4, Wally Kinney, Treasurer

1034 Hidden Hills Dr., Dripping Springs, TX 78620