2025 Pro-Life Signature Ad

Sign Your Name to Support LIFE!

I hereby give permission for the names below to appear in a newspaper advertisement in the South Bend Tribune and The Elkhart Truth network (January 18-19, 2025) and on the Right to Life Michiana website that states the following: "We, the people of Michiana, defend the right to life of all innocent humans and oppose abortion on demand."
Full Name*

First NameLast Name
Name 2

First NameLast Name
Name 3

First NameLast Name
Name 4

First NameLast Name
Name 5

First NameLast Name
Name 6

First NameLast Name
Name 7

First NameLast Name
Name 8

First NameLast Name
Name 9

First NameLast Name
Name 10

First NameLast Name
E-Signature (by signing, you indicate that all names above are aware of this signing and have given permission to appear in a newspaper ad and the RTLM website to defend the right to life and oppose abortion on demand)*

First NameLast Name
Address (will not appear on ad)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail (will not appear on ad)
example@example.com
Phone Number (will not appear on ad)
Church (will not appear on ad)
Help Cover Our Costs!

The cost for running the ad is approximately $5.00 per name. A contribution to help cover the cost is appreciated. If this presents a financial hardship for you, please just give what you can. For maximum impact, provide as many individual names as possible.

Signature Ad Donation (enter here if paying by credit card)

USD

I have mailed in

CheckCash
If mailing in cash or check, please enter the amount sending.
Contributions or gifts to Right to Life Michiana, Inc. are not tax-deductible.

You can also make a tax-deductible contribution to Right to Life Michiana Education Fund, Inc. to support educational activities. Please call 574.232.5433 or email life@prolifemichiana.org for more information.
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Sign Your Name to Support LIFE!