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Stand Up for Choice!

Connecticut Brigade
Registration Form


* = required field
Name *
Address *
City * State Zip:
Phone * Mobile
Email *

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I can volunteer on the following weekends (check all that apply):
Please consider volunteering for more than one weekend!

August 23-24   October 4-5
September 6-7   October 18-19
September 20-21   November 1-4
         
I can volunteer on Election Day, November 4th!

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Build the Brigade!
Host a house party to recruit additional Connecticut Brigade volunteers.

Yes, I want to host a Connecticut Brigade House Party.

For more information, contact
Gretchen Raffa
203-865-5158
brigade@ppct.org

The Connecticut Brigade is a project of Planned Parenthood of Connecticut Public Policy Fund.

Visit the Planned Parenthood of Connecticut Website
Visit the Planned Parenthood Federation of America Action Fund Site


 
 
Copyright © 2008 Planned Parenthood of Connecticut Public Policy Fund