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Personal Endorsement Web Form

x YES! Count on my support and use my name for the West Virginia Wilderness Coalition�s efforts to achieve wilderness designation for unprotected wild places on the federal, public lands of West Virginia . These lands contain outstanding wilderness qualities increasingly scarce in the Eastern U.S. , and protection of the areas proposed by the Coalition would add needed West Virginia acreage to the National Wilderness Preservation System.

Name

Title and Organization (if applicaple, for identification purposes only)

Address: City:

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Phone: email:
web address:

I prefer to be contacted via: mail email phone fax

I / my organization can support the Coalition by (check all applicable):

Distributing Coalition action alerts, updates and events calendar
Writing letters to the editor or opinion editorials for my local newspaper
Publishing articles in my organization newsletter(s)
Inviting a Coalition member to speak at a meeting
Attending events/press conferences
Willing to be or/ supply a spokesperson representing my organization to the public and media
Contacting other groups who could join the Coalition
Contacting businesses and organizations for endorsements
Phone calling to involve citizens in Coalition actions
Other (please describe):

Please send me additional information about the campaign

Thank you for your support of the Coalition! Please press the submit button to send this form
If you have questions, contact Coalition Coordinator Matt Keller at 304-864-5530 or by email