Self registration to Orange County Campaign for Change


Please fill out only the information that you would like to share with us.
Last Name:
First Name:
Email:
Home Phone:
Cell Phone:
Address:
Apt / Line 2:
City:
State:
Zip:
County:
Note that the Precinct field will be auto-populated if the address given is valid.
Please be sure to include the street type information (e.g., Ave) in the address.
Precinct:
Comments:

Volunteer Groups:
Please check the groups that you are interested in (if any).
Fundraising and events:
Phone calls:
Canvassing:
Voter Education:
Voter Registration:
Meeting host:
Service projects:
Communication and Media:
Grass roots organizaing:
Website construction:
Website maintenance:
Data entry:
Contact elected officials:
Government watch:
OC3 newsletter:
Creative design work:
Policy:
Precinct volunteer:
I speak spanish:
Healthcare:
Environment:
Education:


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