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.
NameRose Kalen
Address30066 Vicki Ln
Lebanon, Oregon 97355
Map It
Phone541-619-6720
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?
  • Friends, family & neighbors
Fulfilled Date02/17/2026
Number of 10-up Sheets Requested19
Form UUIDC810-83076CAF-4FC8-664BF119B2D3-AC2B
GF Form ID53
Entry UUID98a7ef08a5d3
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