A.N.S.W.E.R.: Survey - Sign on to the ANSWER proposal for a protest of 1 million strong

Sign on to the ANSWER proposal for a protest of 1 million strong

Working together, we can all make this happen!

Yes, add my name or organization as a supporter of a single, unified demonstration in Washington DC aiming to bring 1 million strong into the streets with the demand "End the War Now!"

The proposal is available here.

Fill out the form below to sign on.

1.

Please complete the following:

*

Name:

First Required	Last Required

*

Email: Required

*

Street 1: Required

*

City/State/ZIP:

City Required	State Required	ZIP Required

Country:

*

Phone Number: Required

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

2.

Question - Not Required - Work Telephone:

3.

Question - Not Required - Cell phone:

4.

Question - Not Required - Fax:

5.

Question - Not Required - Title/Position as you would like it to appear:

6.

Question - Not Required - Organization/Union/School: please write out all acronyms

check all that apply

7.

Question - Not Required - My organization/union: Please check EITHER option A OR option B if you have listed an organization or union affiliation (A) has officially endorsed
(B) should be listed for id purposes only

8.

Question - Not Required - I would like someone from the coalition to speak to my group (explain in comments). Y
N

9.

Question - Not Required - I'd like to get involved! (If yes, tell us the ways you'd like to help in the comments section below). Y
N

10.

Question - Not Required - Message to the A.N.S.W.E.R. Coalition:

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