Join Our Grassroots Network
Everyone deserves clean air!  
Now, you can join our grassroots network of people who want clean air! Please fill out the contact information below to add your name to the list of people who are committed to helping us Take Back Our Air in Central Iowa! You decide your level of involvement, we appreciate any help we can get! Thank you for your support!

Basic Information: Please fill out all fields... Name: Email Address: Mailing Address: City: State / Zip: / Home Phone: Work Phone: Cell Phone: Best Way to Contact You: Agency / Organizational Affiliations:

Level of Involvement: Please indicate your interests... Coalition Membership Contribute financially Receive e-mail / updates Attend meetings Attend special events Help organize special events Call elected officials E-mail elected officials Write elected officials Speak with elected officials in person Write letters to the editor (newspapers) Make presentations in the community Phone calling (mobilizing / gathering data) Investigate local tobacco-related policies Speak at City Council meetings Distribute petitions / door-to-door       canvassing Media spokesperson Speak with restaurant owners / managers Help distribute materials to local outlets

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