Hands-Down-a-Thon Sign Up Form

All Join Hands 2007

National Trichotillomania Awareness Week:
October 1- 7, 2007


	First Name:
	Last Name:
	Address(1):
	Address(2):
	City:
	State/Province:
	Zip:
	Email:
	Phone:

	I would like to do the following (please sign up for no more than two):
			participate in the Hands-Down-a-Thon sponsorship event
			host a screening of Bad Hair Life in my town
			speak at my local school about trich
			speak to a community group (hobby club, professional group, etc) about trich
			contact local hair stylists about participating in Salon Week
			contact local and national media regarding All Join Hands
			put up posters, place print ads, or do mailings of educational brochures