JDRF Advocacy: Survey - Send Your Local Promise Coordinators a Note of Encouragement

JDRF: Improving Lives. Curing Type 1 Diabetes.

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Visit the Promise to Remember Me site to read our blog and get the latest updates on the campaign at jdrfpromise.org.

Send Your Local Promise Coordinators a Note of Encouragement

Please take a moment to submit your message of encouragement to your Promise Campaign Coordinator.

Provide or confirm the information below:

Name:

First Required	Last Required

Email: Required

City:

City Required	State Required

Yes, I would like to become a JDRF advocate and receive email from Juvenile Diabetes Research Foundation International

Remember me. What's this?

*2.

Question - Required - Enter your note of encouragement below:

(Maximum response 255 chars, approx. 5 rows of text)

*3.

Question - Required - JDRF Advocacy has your permission to publish your encouraging note online (JDRF respects your privacy. Only your first name, city and state would be published):

Question - Not Required - Have you signed up to attend a 2010 Promise Campaign meeting: