Endorse the Clean Indoor Air Ordinance

Take a moment and add your name to the growing list of individuals and organizations supporting a strong Clean Indoor Air Ordinance in Oak Park.
DOWNLOAD AN ENDORSEMENT FORM

Name: 

ORGANIZATION/BUSINESS: (If signing on as an organization)

ADDRESS:  

CITY: 

STATE: 

ZIP:  

EMAIL: 

DAYTIME PHONE:  

EVENING PHONE:  

NAME OF AUTHORIZED OFFICER: (If signing on as an organization):  TITLE  


CHECK APPROPRIATE BOXES:
 List my name/organization as supporting the Oak Park Clean Indoor Air Ordinance.
 I will collect signatures on petitions. (Click here to download petition.)
 I will tell my story of how secondhand smoke affected me or my family.
 I will contact village trustees. (Click here for contact information.)
 I will display a window sign supporting the Oak Park Clean Indoor Air Ordinance.
 I will display a yard sign supporting the Oak Park Clean Indoor Air Ordinance.
 I will attend a hearing in support of the Oak Park Clean Indoor Air Ordinance.
 I will send a letter to the editor. (Click here for guidelines.)
 OTHER (list in text box below):