Use the following form to provide us with yard sign locations that are vital in helping Mark to win the race for the 71th 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 family, 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: Select One Bellevue township Benton township Carmel Township City of Charlotte City of Grand Ledge City of Lansing City of Olivet City of Potterville Chester Township Delta Township Eaton Rapids Township Eaton Township Kalamo Township Roxand Township Sunfield Township Vermontville Township Walton Township Windsor Township Size: Select One Small Large
Sign Location #2 - Your Family, Friend or other property Address:  Municipality: Select One Bellevue township Benton township Carmel Township City of Charlotte City of Grand Ledge City of Lansing City of Olivet City of Potterville Chester Township Delta Township Eaton Rapids Township Eaton Township Kalamo Township Roxand Township Sunfield Township Vermontville Township Walton Township Windsor Township Size: Select One Small Large
Sign Location #3 - Your Family, friends or other property Address:  Municipality: Select One Bellevue township Benton township Carmel Township City of Charlotte City of Grand Ledge City of Lansing City of Olivet City of Potterville Chester Township Delta Township Eaton Rapids Township Eaton Township Kalamo Township Roxand Township Sunfield Township Vermontville Township Walton Township Windsor Township Size: Select One Small Large