HTML BlockThank you for requesting 10-up signature forms from us.

We appreciate your desire to gather signatures on our behalf!

With the information below, we will quickly get a 10 Signature Petition Packet into the US Mail. You should receive it in 7-10 days.
NameTerry Reuck
Address1077 Desert Glen Rd
Adrian, OR 97901
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Phone2087893057
EmailEmail hidden; Javascript is required.
Mid Summer Alert10-Up sheets are now available! We will print and postal mail Elections Division compliant sheets to you.
How do you plan on using the 10-up sheets?
  • Upcoming event
  • Friends, family & neighbors
  • At a storefront or street corner
Fulfilled Date09/12/2025
Event detailsTator Tot Festival, Ontario, Sept 19 and 20, Adrian Car Show and Chili Cook-off, Adrian Sept 20
Number of 10-up Sheets Requested25
Form UUIDC810-83076CAF-4FC8-664BF119B2D3-AC2B
GF Form ID53
Entry UUID8c189e963c59