Use the following form to provide us yard sign locations that are vital in helping Patrick to win the race for the 68th District.

Please supply your name, phone number and e-mail address in case we need to contact you in the future.

Use the yard sign location #1 for your home address. Use the additional boxes for your friends or other property that you will allow us to place a sign.
Your Contact Information
Your Name
Phone Number
E-Mail Address
I'll help by:
distributing signs
picking up signs from HQ
Sign Location #1 - Your House
Address: 
Municipality: Size:
Sign Location #2 - Friends or Family or Other Property
Address: 
Municipality: Size:
Sign Location #3 - Friends or Family or Other Property
Address: 
Municipality: Size:
Sign Location #4 - Friends or Family or Other Property
Address: 
Municipality: Size:
Sign Location #5 - Friends or Family or Other Property
Address: 
Municipality: Size:
  
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Paid for by CTE Patrick Baker for State Representative
625 East Michigan Ave., Suite C • Lansing, MI 48912-1156
© 2006 CTE Patrick Baker for State Representative