Please print this form and fill it out by hand. Print is preferred.
Please indicate if you are also a member of one of our allied organizations.
___Alliance for Global Justice
___Public Banking Institute
___Soldiers For Peace International
___None of these
Do you want a seat in the National General Assembly sponsored by the People’s Congress in Washington DC?
If you plan to attend the People’s Congress this July 25 – 29, 2012, please tell us how you would like to be involved.
___I want to work on a committee
___I want to be a delegate in the People’s Congress Inaugural National Assembly
___I want to be there to show my solidarity, but will probably not participate in the committees or vote.Name
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The People’s Congress
P.O. Box 2193
Scotia, NY 12302-2821