toplogo.gif (13056 bytes)
40-HOUR FAST FOR THE DIGNITY OF ALL
March 5-7, 2002

Yes, I will fast at some time between 8 p.m. on Tuesday, March 5 and noon on March 7, 2002.

Please provide the following information:


Name
Street
City
State
Zip
Phone, day
Phone, evening
E-mail


Please send information about the issues raised in the Fast.
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 518.459.5400, ext. 6294 to donate by credit card.

NYS Labor-Religion Coalition
159 Wolf Rd.
Albany, NY 12205-1198