MAINE FAMILY POLICY COUNCIL CITIZEN ACTION CENTER

In order to use the Citizen Action Center we require you to register. Once you register with a username and password, whenever you use the Citizen Action Center, you will just have to enter these two items instead of entering your name and address information each time you wish to send out emails. The following information is needed in order to process your action
This information is considered confidential and will not be used outside the work of the Maine Family Policy Council.

First Name: Last Name:
Address:
City:
Select Town you reside in:
State:
Zip:
Email Address:
User Name:
Password:
Confirm Password:
In addition to registering, add me to the CCL weekly email list.

First Name:		Last Name:
Address:
City:
Select Town you reside in:
State:
Zip:
Email Address:
User Name:
Password:
Confirm Password:
In addition to registering, add me to the CCL weekly email list.