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Registration and Endorsement Form

YES! I want to add my name to the list of endorsers for the People's Summit and Tent City to take place on June 14-17, 2009, in Detroit, Michigan, volunteer to help and/or register to participate.

YES! I also want to register for the People's Summit and Tent City to take place from June 14-17, 2009, in Detroit, Michigan

I will be camping at the Tent City on the following days (Sunday, Monday, Tuesday, and/or Wednesday June 14-17):
Indicate the number of persons you are registering for:
*=required field  
First Name*:
Last Name*:
Title or Position:
Organization:
I endorse:
My Organization Endorses:
Address:
Address 2:
City*:
State*:
Zip or Postal Code*:
Country*:
Email Address:
Area Code* and Phone:
Cell Phone:
I can volunteer to help with:
Sign me up for Local Organizing Updates, People's Summit and Tent City updates,
and Anti-War Action Alerts from action.news@organizerweb.com (low volume):
I would like to receive coalition info through the mail at the address above:
Comments: