2023 MPVR Membership Form

BECOME AN ADVOCATE OF MEDICAL FREEDOM
WHAT WE BELIEVE

All Mississippians have the God-given, inalienable right to medical self-determination. As our freedoms to make medical decisions for ourselves and our children are eroded, MPVR is here to help you fight back.

WHAT WE DO

1.) MPVR PAC (Political Action Committee)

Champions legislation and funds state candidates supportive of Medical Freedom. We also use funds to campaign against those who are a hindrance to our goals.

An opportunity to donate to the PAC will be offered upon form submission. Please support our efforts to protect your freedom.

2.) MPVR CHARITY

The charity's tax deductible funds are used for media such as print material, advertising, and billboards, to raise awareness and educate the public and our lawmakers about our cause.

Tax deductible donations to fund these efforts can be given HERE.
MPVR FB GROUP

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Name*

First NameLast Name
If you are on Facebook, what is your Facebook name?*
E-mail*
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Address*

Street Address

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Zip Code
Cell Phone *
County*
REQUIRED and CRITICALLY IMPORTANT:
Who represents you at the State Capitol in Jackson?

If you are unsure, click www.openstates.org and enter your physical address where it says "Find Your Legislators."
- Upper chamber is Senate.
- Lower chamber is House of Representatives.
- Find and note both of your lawmakers names and contact info by clicking on their names in the search results.
- SAVE their contact info now in your phone. You will be needing it!
- We will be mobilizing you with calls to action as important bills move through the legislature during session (Jan-April).
  
  Now, please choose your legislators from the dropdowns below.
Who is your State Senator?*
Who is your State Representative? *
Please refer to the map below to determine which MPVR Regional Chapter you fall under.
Indicate your region from map below*

Central Mississippi ChapterDelta ChapterGolden Triangle ChapterGreater Hattiesburg ChapterGulf Coast ChapterNorth Mississippi ChapterNortheast Mississippi ChapterSouthwest Mississippi ChapterMPVR Nationwide (for out of state members)
(Optional) If you have experience working in a healthcare or related field, please specify:
(Optional) If you have experience working in an education or related field, please specify:
(Optional) Please briefly describe any skill, work experience or insight you have that might benefit MPVR:

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(Optional) Please check if any apply:

I have a vaccine injury/death story I am willing to shareI have been terminated by a pediatric clinic because of vaccine non-complianceMy vaccine status has adversely affected my ability to obtain or maintain employment in a healthcare or related field.
Thank you for fighting with us!

Please take a moment to:

- Check your email for your membership confirmation
- Add info@mpvr.org to your email contacts so our emails don't go to junk
- Bookmark and visit www.MPVRPAC.com/resources where you will find useful information to download and print, as well as references to other excellent resources.
- Like us on Facebook HERE.
- Join us on Telegram HERE.

"Speak out on behalf of the voiceless and for the rights of all who are vulnerable."
Proverbs 31:8
MPVR is a grassroots volunteer effort. The pharmaceutical industry, with cooperation from medical trade organizations and agenda-driven bureaucracies, constitute the most powerful, wealthiest lobby in history.

It takes both your voice and your donations to fight their agressive agenda.

If every one of our supporters gave a $5 recurring monthly donation, we would change the state of Mississippi! How much is freedom worth to your family?

We are grateful for any amount you are able to give and are committed to using our resources to work hard for your medical freedom in Mississippi.
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BECOME AN ADVOCATE OF MEDICAL FREEDOM