Coalition for National Referendum

Petition for a National Referendum For the Right of the Alaskan People to Decide if Oil and Gas Production Should Occur in the Arctic National Wildlife Refuge (ANWR)

Please fill out all fields. You may 'Print' this form if you would rather mail the vote. Otherwise, click on 'Submit' when finished. Thanks!

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First Name: *
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Last Name: *
Address: *
City: *
State: *
Zip Code: *
Email: *

By submitting this form, I am signing a petition requesting that there be a National Referendum Question that would ask: Should the People of Alaska be able to decide whether there should be oil and gas production in the Arctic National Wildlife Refuge (also Known as ANWR) with written guarantees that the natural wildlife and environment will be protected and nurtured?

If you wish to mail this petition, mail to:
Coalition for National Referendum
99 Clinton Street Suite 111
Concord, NH 03301

Please feel free to copy and print this petition and distribute to others so that they may sign. You can also send more than one person's signed petition in the same envelope. It is not necessary to have an email address for those petitions submitted through the regular postal mail system. Thank you!