Registration

Sign-up to receive legislative updates from the Maine Coalition on Smoking or Health and learn about advocacy activities around Maine.

What issues related to tobacco and/or obesity are you interested in? (Check all that apply)

Tobacco cessation Tobacco taxes, sales, licensing Secondhand smoke exposure

The Fund for a Healthy Maine Childhood obesity Nutrition and fitness

What activities would you or your organization be willing to participate? (Check all that apply)

Contacting legislators Testifying at public hearings

Participating in events (i.e. rallies, press conferences) Advocating in your community

Why are you interested in the mission and vision of the Maine Coalition on Smoking or Health? (Check all that apply)

Personal: What is your personal investment?

Professional: What is your occupation?

How did you hear about the Coalition?

Other:

Please enter any questions or comment you may have for the Coalition.

How may we contact you?

Please contact me with information regarding issues relevant to my interests!

Preferred method of contact: E-Mail Phone Mail