(ORGANIZATION LETTERHEAD HERE)

Name:

Address:

Phone: Email:

Occupation:

I would like to help in the following areas:

• Participate in Speakers Bureau (speaking to local business and civic groups about ACE)
• Contact local business leaders with phone calls, letters, postcards and/or emails
• Write letters to the editor of local newspapers
• Participate in local Editorial Board visits on ACE issues
• Write opinion articles for local newspaper's "My View" section
• Appear on TV news/radio talk shows (morning and midday features interview segments)
• Serve as a media spokesperson on matters relating to ACE.

Thank you for your support.
We will be contacting you to discuss participation.

ADDITIONAL IDEAS OR SUGGESTIONS: