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Thursday, September 02, 2010

Sign Up: STEP 1 of 2:
Please enter your name and home address (where you're registered to vote) so that our action system can connect you with the right elected officials. It let's them know you're a potential voter in their district. It also makes it easy for you to send a message to your legislators, even if you don't know who they are. You only need to sign up once and can unsubscribe at any time. When you take another action in the future you're information will already be filled in for you.

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First Name:*

Last Name:*

Home Address:*

Home Address line 2:

City*

State:*

Zip Code:*

Phone:

Email Address:*

Credentials/Degree:

CNP
DO
IBCLC
LC
MD
MPH
MS
PHD
R.N.
Other

Volunteer Interests:

Actions/Activities
Conferences
District meetings
Events
Fundraisers
Host
Letters to the editor
Media work
Speakers
Training sessions

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