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23 Hour Fast for a #TortureFreeWorld

Please use this form to let us know you will participate in the 23 Hour Fast for a #TortureFreeWorld during a day of your choosing in June 2015.

More information at www.nrcat.org/Fast4HumanRights.

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* 1. Yes, I plan to join the 23 Hour Fast for a #TortureFreeWorld.

I will fast but I have not yet determined the day.

I will fast on this day/s:

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* 2. Contact Information

Name:

Email:

State:

Faith group/ Organization affiliation:

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* 3. Additional Comment or Questions: