Yard Sign Request

Name *

First Name

Last Name

Phone *

(###)

###

####

Would you like a yard sign? *

Yes, Jeff Ortiz only

Yes, signs for Darby, Ortiz, and Jones (recommended)

I authorize the Jeff Ortiz Campaign to place yard signs on my property based on my option selected above in March of 2025

Yes

Decline

What is your Nederland, Texas address? *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country