Candidate Petition Support Form

First Name

Last Name

Street Address

City

Zip Code

You must be a Sierra Club member to run for an ExCom

Cell phone

Which Candidate Are You Supporting?

Are you a current member of the Sierra Club Kansas Chapter?

You must be a member of the Sierra Club Kansas Chapter to support a petition candidate

Your group

Flint Hills

Kanza

Southwind

Topeka

Wakarusa

Which Sierra Club Group are you assigned to?

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