Ban smoking in public places in Indiana - Petition - Sign this petition here - Signature page

Home | Bookmark | Tell

Active petitions in over 75 countries

3 Signatures

Published by maryam on Jun 17, 2009

Category: Health

Target: the Indiana legislatives

Petition text:

We the undersigned want the Indiana legislators to pass a law that bans smoking in restaurant, bars, government worksites and private worksites.

Complete the fields below and click 'Sign'. Optional fields may be completed or left blank.

Title:

(optional)
(Mr, Ms, Dr, etc)

First Name:

Last Name:

Signature Display

Display my name publicly on this website in the public signature list. (Recommended). If unchecked, your name will appear as Anonymous. [?]

Email Address:

*
Your email address will add integrity to this campaign and allow you to edit your signature. View Privacy Policy here.

Street Address:

*
Your street address will not be displayed on this website.

City or Town:

(optional)

State, County or Province:

Post Code or Zip Code:

(optional)

Country or Region:

Short Comment to Target:

Max 500 characters

characters left

Hide my comment. [?]

(optional)

Verification Code:

Enter code & click 'Sign' (below): [?]

The code 'verifies' you are not a bot. [?] If you are visually impaired, you may download the code's audio file here.

Your signature will include your IP address which will be available to the author and GoPetition administrators for security reasons.

* - required fields

GoPetition respects your privacy. Click here for more information.

Quick Search

Bookmark this page