5th National Day of Leafleting Schools
Wednesday, April 28, 2004

Please note that the deadline is April 9!

There are two registration options (please mark "Leafleting Day"):

1. Print this page and mail in with check for $10 ($15 USD for Canada) made out to to Viva!USA, PO Box 4398, Davis, CA 95617.

2. Or submit the form on-line, and you will be taken to a page to donate securely with a credit card.

If you have questions, please e-mail Jack -- jack@veganoutreach.org. Thank you.

First Name
Last Name
Street
City
State / Province
2-letter abbr.
Zip / Postal Code
Email
School being leafleted
Which Literature?
Donation method