Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Which Candidate's Sign Would You Like? *

You may select as many candidates as you'd like.

Mike Shisler - Calvert County Board of Education (District 1)

Antoine White - Calvert County Board of Education (District 2)

Jeanette Flaim - Calvert County Board of Education (District 3)

How would you prefer to receive your sign? *

Pick it up at the Calvert Democrats office (5351 Ketch Road, Prince Frederick, MD 20678)

Drop it off at my home (must enter address if you choose this option)

Contact me to organize a different meet-up