| My areas of interest are: |
| Tobacco education for Children |
| Speaking groups (e.g., PTA, Rotary,church
groups, etc.) |
| Advocacy (e.g., supporting clean indor air
for restaurants, etc.) |
| Youth Advocacy (e.g., form a "tobacco-free
youth coalition" |
| Telephoning legislators |
| Writing Letters to legislators |
| Facilitating smoking cessation classes |
| I would like to receive newsletters
regarding coalition activities. |