Click the PDF icon to download the form to gather signatures!

Please print out the below form double-sided! Mail your forms to: 

Brian Burley for Congress

5267 Warner Ave. #304

Huntingotn Beach, CA 92649

You can also contact the campaign at (714)824-0032 or via email at to schedule a form pickup. 


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This is the start of a new conservative movement in California that will fight on behalf of the factory workers,

the business owners, the teachers, our servicemen, our families, our children,

 and the generations that came before us.

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For Our Country.

For Our Future.

Paid for and Authorized by Brian Burley For Congress

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