<img src="http://democracydays.files.wordpress.com/2010/06/pledgewave2a.jpg" alt="democracydayspledgewave" />
Pledge your support for Democracy Day

First Name *
Last Name *
Email *
Tell us why you're pledging
Powered byEMF Form Builder
Report Abuse
</p><p style="font-family:verdana;font-size:10pt;">
<u>Privacy Policy</u>
Democracy Days will never sell or trade your contact information. We are collecting e-mail and name information for
purposes of communication solely regarding Democracy Days. By pledging you are not signing-up to receive e-mail
from the Friends of Jill Stein. If you would like to sign-up to received updates from the the Friends of Jill Stein, <a href="http://www.jillstein.org/">click here</a>. </p>