ANSWER Coalition Los Angeles (Act Now to Stop War and End Racism): Survey

Mark the 11th anniversary of the Afghanistan war...

Endorse the Oct. 6 Anti-War
March & Rally in Los Angeles

Saturday, Oct. 6, 12noon
Gather @ Hollywood & Highland

*1.

Question - Required - I/my organization endorse(s) the Oct. 6 march and rally against the Afghanistan war

2.

Please complete the following:

*

Name:

First Required	Last Required

*

Email: Required

Street 1:

*

City/State/ZIP:

City Required	State	ZIP Required

*

Phone Number: Required

Date of Birth:

If you respond and have not already registered, you will receive periodic updates and communications from PEP.

3.

Question - Not Required - Please list any organizational or trade union affiliations you have, and if you are a student, what school you attend.

(Maximum response 255 chars, approx. 5 rows of text)

4.

Question - Not Required - Please check all that apply

	I endorse the Oct. 6 Anti-War March and Rally in Los Angeles.
	I will attend the Oct. 6 Anti-War March and Rally in Los Angeles.
	I will volunteer to help build the Oct. 6 protest.

5.

Question - Not Required - Comments, questions:

(Maximum response 255 chars, approx. 5 rows of text)

Endorse the Oct. 6 Anti-War Action!