Pottawattamie County Tobacco Prevention Coaliton Business Endorsement

We recognize that secondhand smoke is a serious threat to workplace safety and public health. We support a policy that would make ALL workplaces and public places 100% smoke-free to protect ALL citizens. (The Pottawattamie County Tobacco Prevention Coalition may use my name/business publicly as an endorser of such policy.)

Business Endorsement - PCTPC

Business Name:

* Address:

City and Zip Code:

* Phone Number:

* Fax Number:

E-mail Address:

Are you interested in receiving information on the Smokefree Air Act?
Yes

No



What does smoke-free mean to me . . .

Signature and Date:

(required for public use of endorsement)

Business names only will be listed on the web site.

* Optional Information


© Copyright 2010 Pottawattamie County Tobacco Prevention Coalition, All rights reserved.