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OBAMA FOR AMERICA | SIGN-IN SHEET

Instructions for Hosts: Please make an effort to fill in this form completely and neatly. The more contact information you provide, the more
effective our campaign will be! Thank you for your generous contribution of time and effort.
Host: __________________________________ Location: ______________________________

Address, City, State,


First Name Last Name Email Address Cell Phone Home Phone Volunteer
Zip

To get this information back to the campaign, please send it to Obama for America, Attn: New Media, 233 N. Michigan Ave,
Suite 1100, Chicago, IL 60601. You can also enter it online at http://my.barackobama.com/watchsignin.
Paid for by Obama for America

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