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This is a mock up of the form giving permission for my image to be used by TOGETHER

  PERMISSION to use my LIKENESS

By completing and submitting this form I hereby permit TOGETHER to take and use photos and videos that include images of myself as they deem appropriate. Blah blah blah

:
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E-mail:*
Phone:*
Address:

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Our Mission

The Coalition for Peace Action (CFPA) is a grassroots citizens' organization bringing together people of all ages, backgrounds, professions and political persuasions around three goals: global abolition of nuclear weapons, a peace economy and a halt to weapons trafficking at home and abroad.

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