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Interfaith Roster
Creating a list of faith leaders who support Occupy Los Angeles:
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Last Name
Your answer
First Name
Your answer
Title
Your answer
Phone
Preferred phone number for contacting you.
Your answer
Email
Preferred email address for contacting you.
Your answer
Mailing Address
Your answer
Do you wish to be added to the email distribution list?
Yes
No
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Faith Identity
Muslim, Jewish, Buddhist, Methodist, Catholic, Humanist, etc.
Your answer
Faith Community
Specific congregation or mosque.
Your answer
Position in Faith Community
Lay leader, Imam, Rabbi, Associate Pastor, Sunday School Teacher, etc.
Your answer
Would you like to join the Occupy LA Interfaith Council?
Yes
No
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Area of Interest
Choose
Plan/present daytime public worship services
1-on-1 counseling on site (need to talk, substance abuse, etc.)
Rapid-response team (appear downtown on 30-45 minutes' notice)
General hospitality on site (shelter, blankets, food, water, etc.)
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