Please provide the following contact information:

Name
Work Phone
Home Phone
E-mail	required
I would like a Paul Green Sign for my Yard	Yes, please send me a sign
I would like to	Volunteer   Contribute  Both
Amount	$200 $100 $50 $25  Other: $
Make Checks Payable to: Committee to Elect Paul Green Mail to: Deborah L. Green, Chairwoman/Treasurer 1367 Walnut St., Newton, MA 02461