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July 16, 2021

PA Smart Meters Case – Amici Form

Thank you for your interest in joining the Amicus Brief. Court rules require us to provide specific information for each of the organizations/corporations who join as an amici. Both incorporated and unincorporated organizations can sign as amici. Below is the information we need from you in order to include your organization in the amicus brief.

If your organization is incorporated please fill out sections A and B.
If your organization is NOT incorporated, please fill out sections A and C.

A. Contact Information

Name*

B. For Incorporated Organizations:

2. State of Incorporation:
4. Does the organization belong to another corporation (parent Corp) or have affiliations with other corporations (e.g., subsidiaries)?*
6. Does another corporation hold more than 10% of your corporation’s stock?
7. Did your corporation receive money from anyone to participate in or for the preparation of the amicus brief?
Limit your mission statement to 200 words.
12. Does your corporation work with people who need to have a smart meter opt-out because of health reasons?

C. For Unincorporated organizations:

2. City & State
3. Is your organization affiliated with or part of a corporation?
5. Are you affiliated with another organization?
7. Did your organization receive money from anyone to participate in or for the preparation of the amicus brief?
12. Does your organization work with people who need to have a smart meter opt-out because of health reasons?

D. If you have additional information or comments, please write them here:

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Children's Health Defense® is a 501(c)(3) non-profit organization. Its mission is to end childhood health epidemics by working aggressively to eliminate harmful exposures, hold those responsible accountable, and to establish safeguards to prevent future harm.

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