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I support the fact that every person deserves basic and equal civil rights, including gay, lesbian, bisexual and transgender individuals.

By signing this petition, I agree to support efforts to make equality a reality in our world, and to oppose any attempts to discriminate against GLBT individuals.

It is very import to fill out as much information as possible; at minimum we need a first name, city, state, zip and email. We NEVER share or sell our invaluable advocates information.

Name:	*
Company:
Address:
Address 2:
City/Town:	*
State:	*
ZIP/Postal Code:	*
Country:
Email Address:	*
Phone Number:
Occupation:

Other organizations you are involved with:

I’m interested in the following Advocate Opportunities:
Please include anything that could be valuable to the cause: access to professional printing, computer programming, etc.

Volunteering at Special Events Volunteering at Home on the Computer

Volunteering at Home on the Phone Event Coordination

Other

My most pressing concern in the GLBT community is…

I identify as a... Lesbian Gay Man Bisexual Woman Bisexual Man Trans Woman Trans Man

Straight Woman Straight Man other

I consider my race... Hispanic or Latino American Indian or Alaska Native Asian Black or African American

Native Hawaiian or Other Pacific Islander White or Caucasian

Age

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Cell Phone Number (no space or dashes, 10 digit only) Service provider