The First 3 fields are required for the e-mail list. The Counrty and Postal code fields will be used to tell us both where we have a good amount of support, and where we need to focus on growing our support.. The other fields below the line are all optional. However, the more information our supporters give us, the easier it will be to grow and gain more supporters!
E-Mail (Required)

Country (Required)   Zip or Postal Code (Required)

First Name (optional)   Last Name (optional)

Address Line 1 (optional)

Address Line 2 (optional)

City (optional)   State/Province/etc. (optional)

Occupation (optional) Company (optional)
Why do we ask? When we ask companies to support us, we can show them how many people in their company support us, or how many people in various fields support us.

Organizations and Affiliations (optional)
Why do we ask? When we ask various organizations to support us we can show them how many people in their organizations are already with us!

Phone #'s (optional) Home   Work   Mobile
Why do we ask? Depending on your occupation, organizational affiliations, employer, or location, you might be able to help us in ways you are not aware of! In cases like this, a phone call can be a much more personal, and much more efficient way of communication.
Don't worry, We will NOT call to solicit donations!.