We will put you on our Ohio Natural Law Party mailing list.  Please print out this form, fill in the information you want to provide, and send it to us at:

 NAME   _____________________________________________               Mr., Mrs., Ms, Dr
                        First                            MI                               Last
ADDRESS   ___________________________________________       Phone  ( ___ )  ___  -  _____   D

CITY     ___________________________   ZIP ______ -_____            Phone  ( ___ )  ___  -  _____  E

Email    ___________________ @ _____________ . _____             

Occupation / School   __________________________

Ways I can help: 

______	Put up a yard sign	______	Walk and hand out literature	______	Organize events
______	Get sign locations	______	Make phone calls	______	Use the computer
______	Host a party	______	Typing, mailing, addressing envelopes	______	Have candidate speak to my group
______	Sponsor a coffee or  brunch	______	Ask others to fill out copies of this card	______	Attend monthly  meetings

_____  Other  ______________________________________________________________

Contribute financially   $  _______    enclosed*          This is your authorization to use my name in advertising.

Date:    ____  ____  ____                                                    ___________________________________
            Day      Mon     Year                                                                                 Signature
 
  * If you make a contribution, you must fill out the information part of the card completely with full name, complete address, phone, occupation, and date. Ohio State law requires us to report this information.