Petition to Unite the country with a Coalition George Bush and Al Gore Government

Coalition for National Referendum

Petition for a Coalition George Bush and Al Gore Government!

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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Title:

First Name: *

Middle Initial:

Last Name: *

Address: *

City: *

State: *

Zip Code: *

Email: *

By submitting this form, I am signing a petition requesting that in order to Unite the country there should be a coalition Government. A coalition Government would be George Bush and Al Gore, one holding the office of President and the other as Vice President. Further they should agree, in writing, that in 2004 both would run on the same ticket. That ticket would be composed of whoever is President now would run for Vice President in 2004, and whoever is Vice President now will run for President in 2004. At the same time Dick Cheney would be appointed as Secretary of Defense and Joseph Lieberman would be appointed as Secretary of State.

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!

Title:
First Name:	*
Middle Initial:
Last Name:	*
Address:	*
City:	*
State:	*
Zip Code:	*
Email:	*