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National Poverty Action Day

Name: Email: Phone:

Address: City: State: Zip:

Name: Email: Phone:

Address: City: State: Zip:

Name: Email: Phone:

Address: City: State: Zip:

Name: Email: Phone:

Address: City: State: Zip:

Name: Email: Phone:

Address: City: State: Zip:

Name: Email: Phone:

Address: City: State: Zip:

Name: Email: Phone:

Address: City: State: Zip:

Page ___ of ____ Instructions: Fax completed sheets to (919) 967-3644 and mail to:
John Edwards for President, ATTN: One Corps
410 Market St, Suite 400, Chapel Hill NC 27516
Paid for by John Edwards for President

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