Petition for a National Referendum on the Transportation of High Level Nuclear Waste

Coalition for National Referendum

Petition for a National Referendum on the Transportation of High Level Nuclear Waste

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

Fields with * are required.

Title:

First Name: *

Middle Initial:

Last Name: *

Address: *

City: *

State: *

Zip Code: *

Email: *

By submitting this form, I am signing a petition requesting that Congress pass Legislation to place on the Ballot a National Referendum Question that would ask: Should the Transportation, from one State to another State, of High Level Nuclear waste be allowed? (Transportation of High Level Nuclear Waste will not be allowed to enter any State, from another State, in which the people vote No on this Referendum Question.)

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:	*