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<h2>Subscribe</h2>
<div class="indicates-required"><span class="asterisk">*</span> indicates required</div>
<div class="mc-field-group"><label for="mce-EMAIL">Email Address <span class="asterisk">*</span> </label> <input id="mce-EMAIL" class="required email" name="EMAIL" type="email" value="" aria-required="true" /></div>
<div class="mc-field-group"><label for="mce-FNAME">First Name </label> <input id="mce-FNAME" class="" name="FNAME" type="text" value="" /></div>
<div class="mc-field-group"><label for="mce-LNAME">Last Name </label> <input id="mce-LNAME" class="" name="LNAME" type="text" value="" /></div>
<div class="mc-field-group"><label for="mce-MMERGE3">Zip Code </label> <input id="mce-MMERGE3" class="" name="MMERGE3" type="text" value="" /></div>
<div class="mc-field-group"><label for="mce-MMERGE5">Phone Number </label> <input id="mce-MMERGE5" class="" name="MMERGE5" type="text" value="" /></div>
<div class="mc-field-group input-group"><strong>Are you a Voter Registrar? (choose one) <span class="asterisk">*</span> </strong>
<ul>
<li><input id="mce-MMERGEVDVR-0" name="MMERGEVDVR" type="radio" value="Yes" /><label for="mce-MMERGEVDVR-0">Yes</label></li>
<li><input id="mce-MMERGEVDVR-1" name="MMERGEVDVR" type="radio" value="No" /><label for="mce-MMERGEVDVR-1">No</label></li>
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<div class="mc-field-group"><label for="mce-MMERGE7">Comments </label> <input id="mce-MMERGE7" class="" name="MMERGE7" type="text" value="" /></div>
<div class="mc-field-group input-group"><strong>Interests (choose all that apply) </strong>
<ul>
<li><input id="mce-group[3863]-3863-0" name="group[3863][1]" type="checkbox" value="1" /><label for="mce-group[3863]-3863-0">Block Walking</label></li>
<li><input id="mce-group[3863]-3863-1" name="group[3863][2]" type="checkbox" value="2" /><label for="mce-group[3863]-3863-1">Phone Banking</label></li>
<li><input id="mce-group[3863]-3863-2" name="group[3863][4]" type="checkbox" value="4" /><label for="mce-group[3863]-3863-2">VDVR events</label></li>
<li><input id="mce-group[3863]-3863-3" name="group[3863][8]" type="checkbox" value="8" /><label for="mce-group[3863]-3863-3">Hosting Meetings</label></li>
<li><input id="mce-group[3863]-3863-4" name="group[3863][16]" type="checkbox" value="16" /><label for="mce-group[3863]-3863-4">Postcard Writing</label></li>
<li><input id="mce-group[3863]-3863-5" name="group[3863][32]" type="checkbox" value="32" /><label for="mce-group[3863]-3863-5">Data Entry</label></li>
<li><input id="mce-group[3863]-3863-6" name="group[3863][64]" type="checkbox" value="64" /><label for="mce-group[3863]-3863-6">Election Clerk</label></li>
<li><input id="mce-group[3863]-3863-7" name="group[3863][128]" type="checkbox" value="128" /><label for="mce-group[3863]-3863-7">Precinct Chair/Captain</label></li>
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