CHVL/On-line Sign-up Form

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

*Home*	*Scorecards*	*Election/Candidate information*
*About CHVL*	*Pike's page*	*Political contact information*
*To join CHVL*	*Government 101*	*Supporting animal-friendly candidates*
*To support CHVL*	*Resources and links***	*I'm Pro-Animal and I Vote!* *~ Humane-legislation groups*

** 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
U.S. mail (Time constraints do not allow us to send many alerts by U.S. mail.)

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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