Show You Vote Pro-Life! Get a WeVoteProLife.com Email Address

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wevoteprolife.com/getemail.htm

Get Your WeVoteProLife.com
Email Address

This is the place for you to sign up for a WeVoteProLife.com email account. For $25 you can obtain a WeVoteProLife.com email address to let the world know that you support pro-life values and will put those values to actions by backing pro-life candidates.

You can obtain an account in one of two ways:

1. Print out the form below and mail it along with a check for $25 to LifeNews.com, P.O. Box 5422, Helena, MT 59604 or
2. Email a completed copy of this form to WeVoteProLife@aol.com and send $25 via PayPal to news@LifeNews.com.

Accounts cannot be processed without payment and a copy of the completed form.

CONTACT INFO
First/Last Name: _______________________________________

Address ______________________________________________

---

City ______________________ State ____ Zip ______________

Current Email Address: __________________________________

@WeVoteProLife.com USERNAME /** PASSWORD**
select usernames no longer than 20 characters, including symbol

1st choice: ____________________

2nd choice: ____________________

Your account password (5-12 characters): ___________________

**SECURITY INFORMATION
**If you forget your password or need help with your account, you’ll need to confirm the following information:

1. Your birthday (e.g. May 25, 1964): _______________________
2. Your Mother’s maiden name: ___________________________

By submitting your registration information, you indicate that you agree to the Terms of Service. Your submission of this form will constitute your consent to the collection and use of this information. You also agree to receive required administrative and legal notices such as this electronically.

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