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Save Lives California Petition Order Form
Complete this short order form to receive petitions.
Street Address 2:
How many petitions would you like to receive?
You will need a separate petition for each county in which you expect to collect signatures. Each petition allows for eight (8) signatures. We will also send you instructions on how to properly fill the petition out as well as a stamped return envelope to ensure your signatures count!
How did you hear about us? (Check all that apply)
American Cancer Society Cancer Action Network
American Heart Association
American Lung Association
March of Dimes
California Medical Association/local or specialty medical society
California Dental Association/local or specialty dental society
Service Employees International Union (SEIU)
Health Access California
Save Lives California
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