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.
NameJo Nielsen
Address2332 Haskins Rd
West Linn 97068
Map It
Phone5033124869
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
  • At a storefront or street corner
Fulfilled Date11/01/2025
Event detailsSidewalks, DMV etc
Number of 10-up Sheets Requested999
Form UUIDC810-83076CAF-4FC8-664BF119B2D3-AC2B
GF Form ID53
Entry UUID90390a8915f6