You are so important in this struggle! we, the members and leaders of Families for Lead Freedom Now!, welcome your interest and will get in touch as soon as we can.
please print and fill out the application.
Please mail it to:
Families for Lead Freedom Now!
c/o Legal Services of Central New York
221 South Warren St. #300
Syracuse, NY 13202
Thank YOU!
Membership Application: Families for Lead Freedom Now!
Printed First Name & Middle Initial
_________________________________________________________________
Printed Last Name
_________________________________________________________________
Today’s date: ____/____/______Phone: ______________________________
Email: __________________________________________________________
Address, zip: _________________________________________________________________
Signature: ______________________________________________________
Best way to Contact me: □ Call □ Text □ Email □ Knock
Directly Affected Family: ___ Affected Community Member:_____
Registered to vote? □ Yes □ No Supporter:____