I would like to be part of an ongoing relocalization network in the Pioneer Valley. Here’s my info:
	First Name:*
	Last Name:*
	E-mail:*
	Address:*
	City:*
	State:*	Zip Code:
	Day Phone:
	Evening Phone:
	Organization:
	I will volunteer to help the relocalization network in the following ways:
	Being a liaison between the relocalization network and the above organization/community
	Writing articles, brochures, op-eds
	Help plan meetings/workshops in the Pioneer Valley
	Speaking or leading a breakout discussion group
	Working in my community
	Conducting research into science, legislation, etc.
	Organizing volunteers
	Work on the website
	Making a financial donation
	Other
	My greatest interest is in the following topics (check no more than 3):
	building local economies
	global warming/peak oil strategies
	renewable energy
	organic agriculture
	healthy food
	democratic reforms
	community media
	urban gardening
	community organizing
	sustainable transportation/biking
	public education and changing minds
	municipal budgets, policies, by-laws
	changing state budgets/policies
	national/global initiatives
	water privatization
	other interest
	* required fields