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Volunteer Interest Form

NOW and our allies are calling on YOU to join us in demanding that Congress not trade away women's reproductive rights in negotiations over health care reform. The Stupak-Pitts Amendment, which passed in the House, greatly limits women's ability to access abortion coverage. Similar language must not be included in the Senate version or the final bill.

Below is a sign up form to volunteer in the National Lobby Day and Rally on December 2, 2009 in Washington, D.C. We would also encourage you to participate in our nationwide efforts; please indicate in what capacity you can assist us for that.

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National Lobby Day and Rally in Washington, D.C.

NOW, coalition partners and activists will meet together for a National Lobby Day and Rally in Washington, D.C. on December 2, 2009. Please join us to lobby the Senate and rally for health care reform that ensures women's access to reproductive health care.

Are you planning to attend the National Lobby Day and Rally?

Yes No

If yes, when are you planning on attending?

All Day (9:30am-5:30pm)
Rally Only (11:30am-1:00pm)
Other (explain in comments)

Nationwide Efforts

Across that nation, NOW activists and leaders are turning out to protest the Stupak-Pitts Amendment.

Are you interested in helping with our nationwide efforts?

Yes No

If yes, in what capacity are you interested in helping?

Phoning (e.g. for outreach efforts, getting volunteers, etc.)
Attending grassroots actions
Helping to organize grassroots actions
Whatever you need, just ask!

What is your availability? Are you available during the weekdays, in the evenings, or on weekends? Do you have an hour here or there to spare?

Any additional comments or questions?

A copy of this application will be sent to your e-mail address if you have given one.

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