Petition for Support
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1. PETITION TO SUPPORT A TOBACCO-FREE CAYUGA COUNTY

I SUPPORT:

1. The Cayuga County Tobacco-Free Partnership in their campaign to raise awareness of the prevalence and hazardous impact of tobacco use and the negative impact of tobacco marketing and promotion with community members and local legislators.

The Cayuga County Tobacco-Free Partnership in their campaign to raise awareness of the prevalence and hazardous impact of tobacco use and the negative impact of tobacco marketing and promotion with community members and local legislators. Yes

2. Actions to reduce or eliminate tobacco use in the following outdoor areas in Cayuga County: (Please check all the apply)

Actions to reduce or eliminate tobacco use in the following outdoor areas in Cayuga County: (Please check all the apply) Parks

Playgrounds

Beaches

Around Schools

Medical Facilities

Public Entryways

3. Actions being taken to reduce the impact of tobacco marketing on youth in Cayuga County stores, such as keeping tobacco products out of young customer's view.

Actions being taken to reduce the impact of tobacco marketing on youth in Cayuga County stores, such as keeping tobacco products out of young customer's view. Yes

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4. Please provide the following information:

Please provide the following information: Name:
City/Town:
ZIP:
Email Address:

Thank you for pledging your support to the Cayuga County Tobacco-Free Partnership and to a Tobacco-Free Cayuga County!

For more information on the Partnership please contact:
Deb Mendzef
Tobacco Program Coordinator
Cayuga County Tobacco-Free Partnership
Phone: 315-252-4212
Email: Tobaccofree@CayugaHealthNetwork.Org