Organization sign on to support ending the sale of all flavored tobacco products in Hawai‘i
The Coalition for a Tobacco-Free Hawaii's Youth Council is seeking organizational endorsements for State legislation to enact tobacco regulations, which include:
1)  Ending the sale of all flavored tobacco products, including flavored e-liquids, electronic cigarettes and cigars as well as menthol cigarettes.
2) Restoring individual County's authority to regulate tobacco sales (preemption repeal)

At the County level, the Youth Council is working to pass ordinances to end the sale of all flavored tobacco products that would go into effect upon current preemptions being repealed in addition to their work at the state level. 

By endorsing tobacco regulations, your organization name and/or logo may be used on our web page, social media, in print or other medium indicating your support for bill(s) to enact any of the above or combination of the above comprehensive tobacco regulations in the State of Hawaiʻi or county, subject to any restrictions you stipulate below.

Sign in to Google to save your progress. Learn more
By checking the box(s) below, you indicate that you have the authority to approve that your organization’s name may be added to the list endorsing comprehensive tobacco regulations.   *
Required
Organization Name *
County
Main Contact (name and title) *
E-mail *
Phone
Please indicate any restrictions as to the use of your organizations name or logo as part of advocating for comprehensive tobacco regulations.
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hawai‘i Public Health Institute.

Does this form look suspicious? Report