Join a Central Iowa JEL Chapter
Please fill out the contact information below to add your name to the list of teens that are committed to helping Take Back Our Air in Central Iowa. You decide your level of involvement. We appreciate any help we can get, and we hope you'll join our fight.

Basic Information: Please fill out all fields... Name: Email Address: Mailing Address: City: State / Zip: / Home Phone: Cell Phone: Best Way to Contact You: School Affiliation: Other Organizational Affiliations: Special Talents / Skills:

Level of Involvement: Please indicate your interests... Receive e-mail / updates Attend monthly 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 school tobacco policies Speak with school administrators and       school boards Speak at City Council meetings Distribute petitions / door-to-door       canvassing Media spokesperson Speak with restaurant owners / managers Help distribute materials to local outlets Lead chants / cheers at events / rallies Contact other members for special events,       meetings and updates

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