KCADP Membership Sign Up Form, 2012 July 24

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Sign Me Up!

Please add me to the contact list for the Kentucky Coalition to
Abolish the Death Penalty and keep me posted about what is

happening on this issue and how I can help.

PLEASE PRINT

NAME

ADDRESS

CITY STATE ZIP

PHONE

E-MAIL

AFFILIATED ORGANIZATIONS (if any)

ADDITIONAL COMMENTS

I’m willing to use my unique
voice. (Check all that apply,
and we’ll follow up to tell
you of specific opportunities
for involvement.)

O I am a murder victim

family member and I oppose
the death penalty.

O I am a member of the
Jaw enforcement community.

O I am a member of the

following faith community,
organization, profession and/
or professional association(s)
and I am _ interested in
organizing on this issue in my
community.

If you have other interests or
specific skills to contribute to
the work to end the death
penalty, please write a brief
note about it to the left.

Thank you!

MY STATE SENATOR IS.

MY STATE REPRESENTATIVE IS

PO BOX 3092, LOUISVILLE KY, 40201

www.kcadp.org staff@kcadp.org
www.youtube.com/kcadp

KENTUCKY COALITION TO ABOLISH THE DEATH PENALTY

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Date Uploaded:
November 12, 2024

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