Please Endorse the Military Environmental 
Responsibility Act!

Print and mail this endorsement.

I, as individual or on behalf of the organization listed below, register my/our full and public support for the Military Environmental Responsibility Act.  The U.S. Department of Defense, its contractors, and defense related agencies should be bound by all U.S. environmental, worker, and public health and safety laws, both within and outside of the U.S., and should be held accountable to comply with all laws and regulations. 

This endorsement is provided on behalf of (check only one): 

__  Myself as an individual; OR  __ The organization listed below 

By providing an endorsement for an organization, I certify that I have the authority to act in the organization's name based on its charter, bylaws, policies, resolutions of its board, or other appropriate requirements. 

Name: 
Organization 
Title or Position: 
Address: 
Phone: 
Email: