IF YOU CAN HELP COLLECT SIGNATURES, PLEASE COMPLETE THE FOLLOWING AND RETURN TO [email protected]. If there is a district action group active in your community, we will have them contact you.

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VOLUNTEER FORM FOR SECURE GREEN FUTURE

To: Committee for a Secure Green Future,

Let me know how I can help collect signatures to put the Secure Green Future question on the ballot in my community.

Name: _____________________________

Town or City: _____________________________

Email: _____________________________

Telephone: _____________________________

State Rep. / District (if you know it): _____________________________

Return to: [email protected]

IF YOU OR AN ORGANIZATION TO WHICH YOU BELONG WANT TO FORM A DISTRICT ACTION GROUP

Return the above volunteer form with the following additional information:

___ Our local organization can sponsor the SGF in our community and can serve as the district action group. The name of the group is: _____________________.

___ I can help organize a district action group by recruiting at least three other people to help with signature collection.