THE ACTIVIST TO DO LIST
Thursday, September 5, 2013
TO DO: Food Security
Source: NYC Coalition Against Hunger
https://nyccah.org/civicrm/event/register?reset=1&id=38
Sign-on Form Food Secure NYC 2018
Please note that signing on means that you support the broad outlines of the plan, not necessarily that you agree with each and every detail of it.
By completing the information below you are authorizing your e-signature.
Participant Info
.
First Name
*
Last Name
*
Organization Affiliation and Title (if any)
Street Address
*
City
*
State
*
- select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal Code
*
Email
Sign-on Form Food Secure NYC 2018
Please check off all those that apply
I endorse the main Food Secure NYC 2018 plan.
Yes
No
(
clear
)
I endorse the Food Secure NYC legislative appendix.
Yes
No
(
clear
)
I am signing on only for myself.
Yes
No
(
clear
)
l
I am signing on behalf of my organization, and I have the authority to do so. You can use my organization’s name and/or logo on joint materials.
Yes
No
(
clear
)
I and/or a representative from my organization will attend the July 9th media event unveiling the plan.
Yes
No
(
clear
)
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