Public Policy Action Member Form

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Public Policy Member Action
MEMBERS- We welcome your involvement in the creation and advocacy of VBSR’s
public policy agenda. Please let us know what issues and level of activity you are
interested in:
 I would like to get all public policy e-mail updates. (approximately once a week
during the legislative session and once a month other times of year).
 I only want to get policy updates for the following subjects: (can check more
than one.)
 Energy
 Environmental
 Workforce Development
 Fiscal Policy
 Economic Development  Human Resources Policy
 Health Care Reform
 I am interested in writing letters to my legislator or local newspaper to support
VBSR public policy initiatives.
 I am interested in attending press conferences or legislative hearings to support
VBSR public policy initiatives.
 I am interested in being on a “VBSR public policy action team” on particular
public policy topics (please list topics)
 I am interested in contributing money for particular policy campaign initiatives
(media buys, consultant fees, etc).
Your Name:
________________________________________________________________
Company/Organization: ________________________________________________________________
E-mail address:
________________________________________________________________
Phone:
________________________________________________________________
Fax to: 802-863-1535
Mail- VBSR, 60 Lake Street, Suite 3G, Burlington, VT 05401
Email- andreac@vbsr.org
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