Join the Campaign

Use the form below to electronically sign up to help re-elect Dennis Moore. If you do not wish to send information via the Internet, you can print this form and mail it to:

Mailing Address
ATTN: Volunteer Coordinator
Moore for Congress
Post Office Box 14631
Lenexa, KS 66285-4631

Fields in bold are required.

First Name:
Last Name:
Address:
City: State: ZIP:
Home Phone:
Business Phone:
Fax:
E-mail:

Yes, sign me up for your e-mail updates!

I am a:
Democrat
Republican
Independent
Other

Yes, you may use my name in your endorsement ads.

I would prefer to help with:
Data entry
Walking neighborhoods
Letter writing
Mailings (stuffing envelopes)
Phone banking
Staffing campaign office
Walk in parades
Send 20 post-cards to friends
All of the above!