Print off this form, or email gailya@nc.rr.com to get a softcopy of the form.
SIGN UP FOR CHOICE!
January 22, 2006 will mark the 33rd anniversary of the Supreme Court’s Roe v. Wade decision, which gave women the right to decide whether or not to carry a pregnancy to term. North Carolina NOW is sponsoring, once again, a full page signature ad in support of reproductive rights for all women, regardless of economic status. This ad will appear in the Independent (Triangle weekly newspaper) on Wednesday, January 18, 2006.
Signature ads are an especially effective way of showing massive support here in North Carolina for a woman’s right to choose. Now is a critical time to stand up and show your support. Copies of the ad are distributed to all legislators. The General Assembly needs to know that the majority of North Carolinians are pro-choice.
Join us by lending your name to the signature ad -- and encourage your pro-choice friends to sign up, too. We are asking for donations of $35 or more (minimum donation is $15.00, $5 for students), to help defray costs of the ad. We are also encouraging additional donations to help pay for names of others who find donations prohibitive.
Deadline for mailing names is January 8, 2006. The text below will appear, followed by names of all who have given permission.
“We, the undersigned, support a woman’s right to safe, legal, and accessible birth control and abortion.
We condemn the acts of violence and intimidation directed at women and their health care providers.
We agree that these rights extend to all women regardless of economic status, and, as taxpayers, affirm our support of the State Abortion Fund for indigent women.”
____ Yes, I want my name in the ad (print name as it should appear):
____ No, I don’t want my name to appear, but I want to help.
PLEASE PRINT:
Name______________________________________________________________
Address____________________________________________________________
City__________________________________________State_____ Zip_________
Phone_____________________________
Enclosed is my donation $75 ____ $50____ $25____ $15____ Other ____
Enclosed is my donation for the Lobbyist Project $100 ____ $50____ $25____ $20____ Other ____
Total $____
Make all checks payable to NC NOW and mail to: Raleigh NOW, PO Box 25331, Raleigh NC 27611