Troops Out Now Coalition

YES! I want to help organize a march or activity against racism in my area on the Martin Luther King Holiday

You can sign up on this form to volunteer in various ways. You can also use this form to list your local activity. You can also volunteer to serve as an organizing center for your area. Serving as an organizing center in your area would mean working with other people and groups in your city, school, community, place of worship, union or workplace to organize an activity for January 21. Organizing tools are available. If you like, we will list you on this Web site as a local contact and can direct people in your area to you.

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First Name*:
Last Name*:
Title or Position:
Organization:
List me as an endorser:	List organization as endorser:
Address:
Address 2:
City*:
State*:
Zip* or Postal Code:
Email Address*:
Area Code* and Phone:
Work Phone:
Cell Phone:
Fax:
Website:
I can volunteer to help with:	Outreach (please send flyers) Please send a speaker to my area Fundraising Other
I would like to volunteer to organize and list a local activity on November 27 or be an organizing center in my area:
Group:
Contact Person(s):
Organizing Center Email Address:
Organizing Center Phone:
Organizing Center Address:
Organizing Center Address 2:
Organizing Center City:
Organizing Center State:
Organizing Center Zip or Postal Code:
List November 27 local activity details:
List local meeting details:
Sign me up for Anti-War Action Alerts and	local organizing updates from action.news@organizerweb.com (low volume):
I would like to receive coalition info	through the mail at the organizing center address above:
I would like to receive coalition info	through the mail at the individual contact address above:
Comments:

Troops Out Now Coalition
Solidarity Center
55 W. 17th St. #5C
New York, NY 10011
212.633.6646
www.troopsoutnow.org
Email: info@troopsoutnow.org