COALITION FOR LOCAL POWER


Volunteer / Donation Form

Name: 
Residence: 
City:   
State: Zip Code:
Home Phone:
Work Phone: 
E-mail:  
Employer: 
Occupation:
  
  I will take a lawn, car or bike sign for SMUD Annexation.
  I can host or help with a coffee for SMUD Annexation.
  I can help with SMUD Annexation work.
  Other (Organizing, phoning, distribution, etc.)

  I can make a financial contribution of at this time.
  I can make a financial contribution of per month.
  I can make a financial contribution of percent of my monthly PG&E bill.

  Fair political practices campaign number applied for. 

Message:

Until we set up credit card acceptance, the Coalition for Local Power will invoice contributors via email monthly.


Copyright Coalition For Local Power
P.O. Box 73523, Davis, CA 95617
Tel: 530 757-6609, Fax: 530 758-8187

Last updated 9-12-2005