Are you or someone you know running on a Freedom Platform, a Ron Paul Platform, who actually voted for Ron Paul? Please fill out and submit this form:
* = Required Field
State:*	AK AL AR AZ CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY
Full Name of Candidate:*
Office sought:*
District (if applicable):
Party Affiliation:*
Website (if applicable):
Phone:*
Email:*
Level of Government:*
	City
	County
	State
	Federal
Campaign Manager:
Campaign HQ Street Address or PO Box:*
Campaign HQ City:*
Campaign HQ State:*	AK AL AR AZ CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY
Campaign HQ Zip code:*
Description of campaign platform (50 words):*

NOTE: This is limited to candidates who supported and voted for Ron Paul, and are Lovers of the Constitution. No exceptions.

This information is for a new project for the Restore The Republic website and for a future issue of Republic Magazine.

Please forward this web page to members of your meetup group or to those who are now running for public office.

We want to help them get into office to further the Freedom R3volution!

Completed Forms are sent to: Ilona Blakeley
Email: AFTFSCNetwork [at] gmail.com