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MAINERS
FOR MEDICAL RIGHTS
1999
Maine Medical Marijuana Initiative |
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Yes! I want to take a stand and endorse the 1999 Maine Medical Marijuana Initiative. I hereby grant Mainers for Medical Rights permission to list my name as a public supporter of the 1999 Maine Medical Marijuana Initiative. |
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Name
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Organization/Company
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Address
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City
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Phone
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Signature
(REQUIRED)
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Please mail or FAX back this form today: FAX 207.780.0718 Mainers for Medical Rights 44 Exchange Street - Suite 201 Portland, Maine 04101 207.780.0704 Paid for and authorized by Mainers for Medical Rights - www.mainers.org |
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