You have clicked to sign Petition 1. For your signature to be counted, you must give us at least the starred items of information below.
We will not use this information for any purposes other than those associated with this petition.
Be sure to click the red Sign Here button at the bottom after filling in your information!
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Total signatures so far: 1072
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Title:
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(Mr, Ms, Dr, etc) |
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First Name:*
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Last Name:* |
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Signature Display:
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Display my name publicly on this website in
the public signature list.
(Recommended). If unchecked, your name will appear as Anonymous.
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If you are university affiliated, indicate
your most recent or important affiliation here: |
If you’re affiliated (a
current or past academic, student or non-academic member with a university),
please tell us which one. The information entered for this item is used only for petition statistics and
management purposes
If you couldn't find your university on the drop-down list, please write it in here:
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Email Address:*
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Your email address will NOT be shown online and we will not give this information to any outside
party. It will only be used as part of verifying that your signature is real and for other petition related
purposes.
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City or Town: |
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Province or State:*
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Country:* |
If you selected "Other" then please
write in your country here.
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--Enter the credentials you want others to see here. --Signing now matters most. If you want to add a bio later, email that at any point to savestatcan2010@gmail.com together with your name and the ID number for your name on the petition, and your bio will be added at that point.
--You can also enter comments here forothers to see.
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