National Right to Life Jane B. Thompson Oratory Contest

State Coordinator

Name ___________________________________

Address __________________________________

City ______________ State ________ Zip_______

Phone Number (______) _______________

E-mail address ________________________

Sponsoring State Organization

___________________________________________________________________ 

Will you be attending the NRLC ’09 Convention?  YES________  NO________

Please return form to:

Michelle Fischbach
416 Burr Street
Paynesville, MN  56362
e-mail – michellelfischbach@yahoo.com