ibdcure.org > IBD Stamp E-Signature Form:

 

 

Welcome to the IBD Stamp e-signature form!

 

By signing this form, your information will be forwarded to the Citizens' Stamp Advisory Committee of the United States Postal Service.

 

Directions: Complete each field & hit "submit" when finished. A confirmation page will show following your submission. If you've made any mistakes, merely hit your browser's "back"button and resubmit the form with the correct information.

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I, the undersigned, support the idea for a postage stamp to raise awareness of Inflammatory Bowel Disease (IBD) in all its manifestations. I strongly urge your Committee to recommend to the Postmaster General that such a stamp be issued.

*Full Name:
*Address
*City, State & Zip	,
*E-mail
Would you like to be added to our list-serve? Your email address will remain confidential and will not be solicited.	Yes: No:
Any additional comments? If you would like to help collect signatures from friends, neighbors or in your place of work, please also indicate that here.
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*Denotes required fields. Before submitting your information, please ensure its correctness.

 

Proposed IBD Stamp Design by Megan Leigh Dorko.

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