This summer, work with the organizers of Iraq Action Days to meet locally with government officials in your home congressional district, and urge them to do more to respond to one of the greatest humanitarian disasters of our time. Register now to get more information on Home District Iraq Action Days (coming in August!)

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First name    Last name
Email Address     Primary Phone
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Address
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(Note: We need your +4 zip code to correctly identify your congressional district. If you do not know your +4 zip code, you can find it online at: http://zip4.usps.com/zip4/welcome.jsp)

How did you hear about Iraq Action Days 2008? 

Do you have a social networking or personal website link?

Have you ever contacted or met with your elected representatives (check ALL that apply)?
 This will be my first time meeting with a congressional office
 I have written letters to my representatives
 I have called my representatives
 I have met with congressional staffers
 I have met personally with my Representative and/or Senators
Other

Are you willing to be a team captain for your home district?   Yes  No

For training purposes only, please let us know how familiar you are with the humanitarian crisis facing Iraqis?

Is there any additional information you would like us to know? For example, are you a veteran, or active in a faith group? Have you traveled to Iraq or the region, and in what capacity? Are you active in local organizing?
Would you like to make a contribution? Enter your donation here:

To complete your contribution, the Education for Peace in Iraq Center (EPIC) has partnered with PayPal to facilitate your online credit card transaction.



Privacy Policy: IRAQ ACTION DAYS is operated by the Education for Peace in Iraq Center (EPIC) on behalf of our coalition partners. To safeguard your privacy, we will not share your information without your explicit permission. IRAQ ACTION DAYS will send occasional updates about our April 14-16 program and other opportunities to respond to the humanitarian crisis facing Iraqis. If at any time you wish to unsubscribe from our email list, you may do so.