OKHPR Foundation Small Business Coalition Partners Fields marked with an * are required HTML Thank you for your interest in joining the Coalition for Oklahomans for Health and Parental Rights Foundation. The purpose of the coalition is to unite, empower, and activate organizations, businesses, churches, and individuals who support:Medical PrivacyHealth ChoiceInformed ConsentParental RightsCoalition Memberships last for 12 calendar months from the date of acceptance. Please renew your membership each year. Sign up below and you will be contacted once your application has been processed.Thanks again for your support! First Name * Last Name * Email * Type of Coalition Member * Business Organization (includes PAC or Non Profit) Church Business Name * Business Address * Check here if you would NOT like this address listed publicly For example, if your business is based out of your home address please check this box to keep your address private. City * US States * - Select State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Washington DC ARMED FORCES AFRICA \ CANADA \ EUROPE \ MIDDLE EAST ARMED FORCES AMERICA (EXCEPT CANADA) ARMED FORCES PACIFIC Business/ Organization / or Church Phone * Business Website If available Would you like to be publicly listed as a coalition member? * Yes No Total Your total sponsorhip level is $60.00. If you are a human seeing this field, please leave it empty.
