TENTH ANNUAL 40-HOUR FAST Health Care For All: The Moral Prescription March 1-3, 2005 Yes, I will fast at some time between 8 p.m. on Tuesday, March 1 and noon on Thursday, March 3, 2005. Please provide the following information: Name Street City State Zip Phone, day Phone, evening E-mail Please add me to a NYSLRC e-mail group interested in Health Care for All. There will be FEW messages. Please let me know about FAST events in my region. Please send 10 brochures that I can post and distribute in my community. Please contact me about other ways I can help. NOTE: Donations to help spread word about the Fast are welcome. Please print this form and mail it with your check or call us at 518/ 213-6000 ext. 6294 to donate by credit card. THANK YOU! NYS Labor-Religion Coalition 800 Troy Schenectady Road Latham, NY 12110-2455