CHVL/On-line Sign-up Form

A Colorado
non-profit organization
advocating for animals
in the political arena

*Information about CHVL and this site*		*Political (and other) resources***
*Home*	*To join CHVL*	*Election/Candidate information*	*Scorecards*
*Main menu**	*To support CHVL*	*Political contact information*	*Government 101*
*Site map*	*For the record*	*Supporting animal-friendly candidates*	*Resources and links***
*About CHVL*	*Pike's page*	*I'm Pro-Animal and I Vote!* *~ Humane-legislation groups*

* these menu options, with descriptions

** The "Resources and links" page lists a variety of types of groups, not only political, that help animals.

Note: In 2005, Political Voice for Animals (PVA) changed its name to Colorado Humane Voters League (CHVL). The PVA name will continue to appear on some earlier pages (e.g., earlier newsletters, election pages, and scorecard pages).

CHVL On-Line Member Information Form

YES!! I want to join the Colorado Humane Voters League legislative alert network. (I am a Colorado resident.) Here's my information.

Contact Information

Last name:	First name:
Organization, if applicable (optional):
Legal address (address the Registrar of Voters has on record for you)
Street address:
City:	County (optional):
State:	ZIP Code:*	-

*If you know all nine digits of your ZIP code, please provide them (for example, "80999-1234"). Your providing the full ZIP code will save us time in determining your U.S. Congressional district and your State Senate and House districts. This is turn will enable us to enter your information more quickly in our database. Thank you.

Please provide at least one of the following. (If you provide none, we will communicate with you by U.S. Mail only.) Please be sure to provide contact information here for the contact method you select in the "Choices" section below.

E-mail address:
(Below: To select a different area code, click on the small triangle to see a list of area codes and then click on the appropriate area code to select it.)
Fax number:
Telephone number (home):
Telephone number (work or other):	Extension:

Choices

I prefer to be contacted by ...

E-mail
Fax
U.S. MAIL and occasional PHONE ALERTS (use home phone number)
U.S. MAIL and occasional PHONE ALERTS (use other phone number)
U.S. MAIL only.

Please be sure to provide contact information in the "Contact Information" section above for the contact method you select here.

I am interested in helping with the following: tabling fundraising special events.

It is OK to share my name with other animal-advocacy organizations: Yes No.

Comments

Please feel free to make comments below:

Below, please select "Submit entries" to send your information or "Clear entries" to clear the fields in the form.

Note: Please do not select "Submit" more than once! The sign-up form will be sent when you select "Submit". At this time you will not see an acknowledgment message. Although we are working on refining this sign-up page, this web site is maintained entirely by volunteers, so please bear with us.

Thank you

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