Endorsement form – International People’s Assembly

 

Your First Name (required):

Your Last Name (required):

 Yes, I endorse the International People's Assembly Against the Banks
          and Against Austerity, to be held on Oct. 5 & 6, in Detroit, Michigan, USA

Your Email (required):

Your Phone (desirable):

Your Organization:

 Yes, my organization endorses the International People's Assembly Against the
          Banks and Against Austerity, to be held on Oct. 5 & 6, in Detroit, Michigan, USA

Organization email:

Organization website:

Your organizational role, responsibility, or position:

Your Address:

Your Address 2:

Your City:

Your State/Province:

Your Country (required):

Your Zip/Postal Code (required):

Your Comments:
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