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Use the following form to apply and declare your endorsement for Zack Scrivner for Supervisor 2010. All submissions are welcome but are subject to review, verification and approval by the Scrivner for Supervisor 2010 Committee. By completing and submitting the following form you authorize Zack to use your or your agency's name in all promotional materials and/or media throughout his campaign.
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Primary Contact Phone:
Please provide a sentence or two (not more
than 156 characters total) that summarizes
your desire to support and endorse Zack.
All applicants will be reviewed and contacted for verification and possible request for signature confirmation. Please provide a reliable phone number where you can be contacted. Thank You!
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