Health Care Day of Action – March 3, 2008

Co-Sponsor Commitment Form

We are a diverse coalition including healthcare providers and advocates, businesses, labor unions, faith, community groups and individuals working to achieve real healthcare reform.

March 3^rd is a day of action to call attention to Colorado’s healthcare crisis and to launch a movement to make our health the bottom line. 

Although there are many ways to achieve healthcare reform, we all agree that our health needs to be the bottom line.  During this session, we look to the General Assembly and the Governor to pass legislation that will expand affordability, access and transparency – which will bring us closer to health care reform.  When reform recommendations are released, we look forward to quick and strong action by our legislators.  As our leaders do their part, we will continue building a movement to ensure that the voices of Coloradans are taken into account and to ensure that reform is achieved.

The time for action is now!

¨                  YES! My organization______________________ wants to sign on as a co-sponsor to the March 3rd Day of Action!

o        Note: Co-Sponsorship involves no financial requirements!

¨                  YES! My organization agrees that our name and logo can be used on public documents associated with the Health Care Day of Action.

o        Note: All press releases will be sent for your approval before being released to the media

¨                  YES! My organization will notify our members/contacts about this event via (please check):

o        A phonebank to our members

o        Listserve emails

o        Newsletter/mailing delivered prior to February 27th

¨                  YES! My organization agrees to turn out

o        10 people for March 3rd

o        15 people for March 3rd

o        25 people for March 3rd

o        50 people for March 3rd

o        ____ people for March 3rd

¨                  YES! My organization can offer other resources (please describe below)

Name:                                                          Organization:

Phone:                                                         Fax number:

Email:                                                          Mailing Address: