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Support Tobacco Free Schools in Iowa
1. Iowa Tobacco Prevention Alliance Petition to Support Tobacco-Free Schools in Iowa
I support tobacco-free schools in Iowa.
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. First name:
First name:
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2
. Last name:
Last name:
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3
. E-mail:
E-mail:
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. Address:
Address:
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. City:
City:
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. State:
State:
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. Zip code:
Zip code:
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. Phone number:
Phone number:
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. I am a (check all that apply):
I am a (check all that apply):
Smoker
Non-smoker
Cancer survivor
Parent
Student
Educator
Health care professional
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. I will help support tobacco-free schools in Iowa by:
I will help support tobacco-free schools in Iowa by:
Going door-to-door to distribute information
Recruiting volunteers
Gathering signatures
Making phone calls
Writing a letter to an elected official
Writing a letter to the editor
Attending a rally
Calling/visiting an elected official
Thank you for weighing in to support tobacco-free schools in Iowa!
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