Endorse Governor's Plan

I Support Governor Blagojevich’s Community Investment Works. I want to employ, engage and rebuild my community.

Name:

Title:

Organization:

Please check the category that best applies to your organization:

Health Provider

Social Service

Religious

Farm/Rural

Business

Labor

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Other

I am endorsing on behalf of myself.
I am endorsing on behalf of my organization.

Address:

City:

State:

Zip:

Phone:

Cell Phone:

Fax:

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Here is how I can help:

Share my name with the media as a supporter
Speak at a press conference
Send a letter to my local legislators
Submit a letter to my local newspaper
Distribute information to an organizational newsletter
Volunteer to help at an event

Please explain why you are supporting Governor Blagojevich's plan:

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