DRAFT - Registration Form
2008 War Tax Boycott Number of people committed to date:
Register - Resist – Redirect _______________________________
____ I wish to explore an April 2008 one-time act of WTR
____ I am ready to commit to an April 2008 one-time act of WTR.
In order to explore or to carry out my commitment to an April 2008 one-time act of WTR I need:
____ the One-Year WTR guide (online link)
____ to talk with a WTR counselors (online version could provide a list of counselors based on zip code)
____ to meet with WTRers exploring an April 2008 one-year act of WTR (online version could provide a list of others based on zip code.)
____ more information ________________________________________ (online version might select a resource for download base on the kind of information selected)
___ Please provide me with updates of the total number of people committed to an April 2008 act of WTR (the online version could automatically provide these numbers to date as soon as the person checks this)
___ You may provide my name and contact information to others exploring and committing to this action in my area
I estimate the amount I will refuse to pay and redirect will be $______________
(The $142 Billion requested for the
___ Use my name and hometown in press releases and ads designed to bring public attention to this action.
___ Redirect my resisted taxes to assist*:
____ Communities devastated by Katrina
____
____ Both Katrina communities and Iraqi refugees.
*You can use the separate redirection form and send it with a check to a WTR alternative fund where it will be redirected along with the resisted taxes of others according to your choice below.
Name:
Address:
Phone
Return form to SLCCWTR, 438 N. Skinker Blvd. St. Louis, MO 63130