Step 1 of 14 7% Voter Information* = requiredName* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Phone New for 2021: Hometown Heroes – Pandemic ResponseDoctor: Name of Doctor and Health Care FacilityPlease enter the Name of Doctor and Health Care FacilityNurse: Name of Nurse and Health Care FacilityPlease enter the Name of Nurse and Health Care FacilityFirst Responder: Name of Individual and Health Care FacilityPlease enter the Name of Individual and Health Care FacilityHospitalPlease enter the Name of Hospital NonprofitsPlease enter the Name of Nonprofit CampsDay CampPlease enter the name and city of the establishment of your choice.Overnight CampPlease enter the name and city of the establishment of your choice.Special Needs CampPlease enter the name and city of the establishment of your choice. CollegeFraternityPlease enter the name and city of the establishment of your choice.HillelPlease enter the name and city of the establishment of your choice.Arizona Area College/UniversityPlease enter the name and city of the establishment of your choice.SororityPlease enter the name and city of the establishment of your choice. Community/RecreationArt Gallery/MuseumPlease enter the name and city of the establishment of your choice.Athletic ClubPlease enter the name and city of the establishment of your choice.CasinoPlease enter the name and city of the establishment of your choice.Children’s EntertainmentPlease enter the name and city of the establishment of your choice.Children’s/Teen ProgrammingPlease enter the name and city of the establishment of your choice.Community EventPlease enter the name and city of the establishment of your choice.Family-Friendly ActivityPlease enter the name and city of the establishment of your choice.Fitness CenterPlease enter the name and city of the establishment of your choice.Golf ClubPlease enter the name and city of the establishment of your choice.HotelPlease enter the name and city of the establishment of your choice.Music VenuePlease enter the name and city of the establishment of your choice.Nonprofit OrganizationPlease enter the name and city of the establishment of your choice.Parks/Hiking TrailsPlease enter the name and city of the establishment of your choice.Performing Arts Venue/OrganizationPlease enter the name and city of the establishment of your choice.Place to Travel in all of Arizona Please enter the name and city of the establishment of your choice.PlaygroundPlease enter the name and city of the establishment of your choice.Sports OrganizationPlease enter the name and city of the establishment of your choice.Staycation destinationPlease enter the name and city of the establishment of your choice.Yoga ClubPlease enter the name and city of the establishment of your choice. EducationAfter Care ProgramPlease enter the name and city of the establishment of your choice.PreschoolPlease enter the name and city of the establishment of your choice.Private School/Day SchoolPlease enter the name and city of the establishment of your choice.Public SchoolPlease enter the name and city of the establishment of your choice.Hebrew SchoolPlease enter the name and city of the establishment of your choice.Special Needs SchoolPlease enter the name and city of the establishment of your choice.Special Needs ProgrammingPlease enter the name and city of the establishment of your choice.Young Adult ProgrammingPlease enter the name and city of the establishment of your choice. FoodBagelPlease enter the name and city of the establishment of your choice.BakeryPlease enter the name and city of the establishment of your choice.BarPlease enter the name and city of the establishment of your choice.BrunchPlease enter the name and city of the establishment of your choice.CoffeePlease enter the name and city of the establishment of your choice.GroceryPlease enter the name and city of the establishment of your choice.Ice Cream/Frozen YogurtPlease enter the name and city of the establishment of your choice.Jewish DeliPlease enter the name and city of the establishment of your choice.Kosher BakeryPlease enter the name and city of the establishment of your choice.Kosher GroceryPlease enter the name and city of the establishment of your choice.PizzaPlease enter the name and city of the establishment of your choice.RestaurantPlease enter the name and city of the establishment of your choice. Home ServicesBest ContractorPlease enter the name and city of the establishment of your choice.ElectricianPlease enter the name and city of the establishment of your choice.FlooringPlease enter the name and city of the establishment of your choice.HVACPlease enter the name and city of the establishment of your choice.Interior DesignPlease enter the name and city of the establishment of your choice.LandscaperPlease enter the name and city of the establishment of your choice.Pest ControlPlease enter the name and city of the establishment of your choice.PlumberPlease enter the name and city of the establishment of your choice.Roofing/Siding/DecksPlease enter the name and city of the establishment of your choice.WindowsPlease enter the name and city of the establishment of your choice. Lifecycle/ReligiousAlternative Shabbat Service/ProgrammingPlease enter the name and city of the establishment of your choice.ChabadPlease enter the name and city of the establishment of your choice.Family-Friendly Shabbat ServicePlease enter the name and city of the establishment of your choice.Judaica ShopPlease enter the name and city of the establishment of your choice.Special Needs Shabbat ServicePlease enter the name and city of the establishment of your choice. MedicalCosmetic SurgeryPlease enter the name and city of the establishment of your choice.DentistPlease enter the name and city of the establishment of your choice.ER/HospitalPlease enter the name and city of the establishment of your choice.GastroenterologistPlease enter the name and city of the establishment of your choice.Lasik CenterPlease enter the name and city of the establishment of your choice.Mental Health PractitionersPlease enter the name and city of the establishment of your choice.OB/GYNPlease enter the name and city of the establishment of your choice.OrthodontistPlease enter the name and city of the establishment of your choice.Orthopedic PracticePlease enter the name and city of the establishment of your choice.PediatricianPlease enter the name and city of the establishment of your choice.PharmacyPlease enter the name and city of the establishment of your choice.Urgent CarePlease enter the name and city of the establishment of your choice.Vein ClinicPlease enter the name and city of the establishment of your choice.VetPlease enter the name and city of the establishment of your choice.Vision CarePlease enter the name and city of the establishment of your choice. Personal ServicesAdvertising AgencyPlease enter the name and city of the establishment of your choice.BankPlease enter the name and city of the establishment of your choice.BarberPlease enter the name and city of the establishment of your choice.Car WashPlease enter the name and city of the establishment of your choice.Dry CleanersPlease enter the name and city of the establishment of your choice.FacialsPlease enter the name and city of the establishment of your choice.Financial PlannerPlease enter the name and city of the establishment of your choice.Insurance AgencyPlease enter the name and city of the establishment of your choice.Law FirmPlease enter the name and city of the establishment of your choice.Makeup ArtistPlease enter the name and city of the establishment of your choice.Mani/PediPlease enter the name and city of the establishment of your choice.MassagePlease enter the name and city of the establishment of your choice.Pet GroomerPlease enter the name and city of the establishment of your choice.Real Estate AgencyPlease enter the name and city of the establishment of your choice.Real Estate AgentPlease enter the name of your choice.SalonPlease enter the name and city of the establishment of your choice.Sheitel MacherPlease enter the name and city of the establishment of your choice.SpaPlease enter the name and city of the establishment of your choice.WaxingPlease enter the name and city of the establishment of your choice. CelebrationBachelor or Bachelorette PartyPlease enter the name and city of the establishment of your choice.CatererPlease enter the name and city of the establishment of your choice.Event VenuesPlease enter the name and city of the establishment of your choice.DJPlease enter the name and city of the establishment of your choice.FloristPlease enter the name and city of the establishment of your choice.PhotoboothPlease enter the name and city of the establishment of your choice.Party PlannerPlease enter the name and city of the establishment of your choice.Photographer/VideographerPlease enter the name and city of the establishment of your choice. RetailBest Place to Buy Suits/TuxedoPlease enter the name and city of the establishment of your choice.BoutiquePlease enter the name and city of the establishment of your choice.Bridal ShopPlease enter the name and city of the establishment of your choice.Car DealershipPlease enter the name and city of the establishment of your choice.EyewearPlease enter the name and city of the establishment of your choice.FormalwearPlease enter the name and city of the establishment of your choice.Furniture/Mattress StorePlease enter the name and city of the establishment of your choice.JewelerPlease enter the name and city of the establishment of your choice.MenswearPlease enter the name and city of the establishment of your choice.Musical Instrument StorePlease enter the name and city of the establishment of your choice.Shoe StorePlease enter the name and city of the establishment of your choice.Shopping MallPlease enter the name and city of the establishment of your choice. Seniors55+ CommunityPlease enter the name and city of the establishment of your choice.Alzheimer’s/Dementia CarePlease enter the name and city of the establishment of your choice.Assisted LivingPlease enter the name and city of the establishment of your choice.Homecare ServicesPlease enter the name and city of the establishment of your choice.Hospice CarePlease enter the name and city of the establishment of your choice.Independent LivingPlease enter the name and city of the establishment of your choice.Senior ActivitiesPlease enter the name and city of the establishment of your choice.Senior CenterPlease enter the name and city of the establishment of your choice.Senior ProgrammingPlease enter the name and city of the establishment of your choice.
