Remember Our Rights: An Art Project

Please submit the form on this page only once. Also, for privacy reasons, I am not collecting email addresses as part of this project. If you have questions about the project, or any of my other works, please contact me via the this site's main contact page.

Participation *
Be sure to check the first box if you have donated and encouraged others to participate. Otherwise, your participation will not be reflected in the totals. Remember to include your name and address if you check that you want to receive the commemorative medallion. Otherwise, that information is optional. No medallion will be sent unless both boxes are checked and a complete mailing address is provided.
Required for the project statistics
Name
Name
Optional unless you've requested the medallion
Address
Address
Optional unless you've requested the medallion.
Optional but I'd love to hear what you think about this project and what organizations you support.