Your contact information:
Full name:
Mailing Address
E-mail Address Telephone number:
I'm willing to help!
Select one or more boxes	Lawn Sign Send Dear Friend Cards Election Day Help Phone Calling Host Coffee Hour Other (comment below)
Comments:
If you wish to donate to the campaign:
	If you wish to donate to the campaign, you may send a check payable to the Committee to Elect John F. Keenan, 37 Hobomack Road, Quincy, MA  02169.  Please note that corporate checks are not acceptable, and for donations in excess of $200 in a calendar year, you must provide your occupation.  Donations cannot exceed $500 per person per calendar year.   Thank you!