Name: 

Please send me a small supply of SURJ materials to share with
      others.

I would like to schedule a SURJ Speakers Bureau presentation
      at my organization or place of worship.

I would like to join SURJ's Speakers Bureau and speak on
       behalf of SURJ
                                                                                                              
I can contact my state legislator about SURJ reforms as the          
      need arises.                                                                                                             

I can staff a SURJ information table with other volunteers at a local event.

I can make phone calls to fellow SURJ members.

I can serve as district leader of local SURJ members.

      I am available to help out at the SURJ office in Wilmington:
           During the daytime.
           During the evening.          

I can help organize and support SURJ events (membership conventions, public forums, etc.).

      I would like to serve on a SURJ committee.
         (Please send an e-mail to info@surj.org to sign up to serve on a committee):
           Development Committee
           Membership Committee
           Adult Corrections Subcommittee
           Legal Team  (attorneys only, please)
           Working Group on Treatment
           Public Relations Committee

I can help out in other ways:

             Contact Information (e-mail, mailing address or phone number):