Join us HERE! '1 of 52' Member Sign Up Page

Copy, paste into email, fill in blanks, send to endhunger@cox.net

If after reviewing our overview information, you are ready to sign up as a '1 of 52' Member - Welcome Aboard! Simply fill out this form, we'll post your name & link on our Member Roster page and you are a '1 of 52' Member! (Auto-fill form to follow soon!)

No fees, only action in just one week a year!

Short Form - The info at top of this form is all we need to have you sign up to become '1 of 52' others in your state working to end hunger.

Today's Date: _______________

[  ] Yes, I understand the '1 of 52' Hunger Network concept and agree to take a minimum of
one action in one week annually to help end hunger and would like to become a member!

Your name: ____________________________________________________________
Optional signature: ______________________________________________________
Name of company / organization/ artist / group: ________________________________
Mailing address: ________________________________________________________
Phone: ________________________________________________________________
Fax: __________________________________________________________________
Email: ________________________________________________________________
Web / Social media sites: _________________________________________________
______________________________________________________________________
______________________________________________________________________

Describe type of actions to be taken (Can describe in general or specific terms. More details can follow): ______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

The info below is not required to join up at this time, details can follow
- info is always welcome before and after your actions for pre and post publicity.

Alternate contact: ________________________________________________________
Agency / Company: ______________________________________________________
Management: ___________________________________________________________
Phone/Fax/Email/Web site: ________________________________________________
______________________________________________________________________
Location of event / action: _________________________________________________
Tickets available in advance? _______ Prices $________________________________
Phone number and address of venue: _______________________________________
______________________________________________________________________
Contact person at venue: _________________________________________________
Event dates / times / details: _______________________________________________
______________________________________________________________________
______________________________________________________________________
Artists / speakers on bill in order of appearance: _______________________________
______________________________________________________________________
Media contacts: _________________________________________________________
______________________________________________________________________
______________________________________________________________________
Other details on actions / comments / activities: ________________________________
______________________________________________________________________
______________________________________________________________________

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