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@@first_name@@ @@last_name@@ @@phone@@ @@email_required@@ <li class="control-group"> <label class="control-label" for="textinput">Do you know when you'll be there? Or how long you want to stay?</label> <input id="textinput" name="textinput" type="text" placeholder="If you don't know yet, that's ok too!" class="input-xlarge " data-always="true"> </li> <li class="control-group"> <label class="control-label" for="textinput">Anything else we should know?</label> <input id="textinput" name="textinput" type="text" placeholder="Tell us here" class="input-xlarge " data-always="true"> </li> <li class="control-group"> <label class="control-label check_radio_label">Have you ever collected signatures before?</label> <label class="radio"> <input type="radio" name="can2_action_field_Collected before?" value="Yes" class="" data-always="false"> Yes </label> <label class="radio"> <input type="radio" name="can2_action_field_Collected before?" value="No" class="" data-always="false"> No </label> <label class="radio"> <input type="radio" name="can2_action_field_Collected before?" value="Yes but not for Universal healthcare" class="" data-always="false"> Yes but not for Universal healthcare </label> </li> @@zip_code_required@@ @@country_required@@
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Thanks for joining me to collect signatures for Universal Healthcare!I'm [NAME] and I live in [City/neighborhood] and I'll be your main point of contact. <h2>Here's Where We'll Be</h2>Event Date:Event Location: Here's where you can find me specifically:I'll be there at:Description of how to recognize me:<h2>What To Know & Bring</h2>If you have a Whole Washington T-shirt already, feel free to wear it. If you want one, we can get one on order for you. If you already have boards and petitions, please bring them.If you don't have any supplies at all, let me know. Always bring items to keep yourself comfortable like water, snacks, a hat, SPF, and always wear comfortable shoes. Collecting signatures is easy, fun, and rewarding! You'll be comfortable in no time!Here's how to reach me before the event:Here's how to reach me the day of the event:

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