Educate, Advocate, Research

We need 3000 signatures to start legislation to create an Epilepsy Awareness License Plate.
Help us, sign the petition below.

Please help the Epilepsy Foundation of Colorado raise awareness and understanding for over 43,000 Coloradoans living with epilepsy and their families.  Together we can do it! 

Please only sign one name per form, and indicate your county.

Prefix

* First Name

* Last Name

* Address

* City

* State

* Zip Code

* County

Email

Phone

* I support the creation of a special interest license plate for epilepsy awareness.

 

* Yes! I would purchase an Epilepsy Awreness licence plate when they become available. (Please answer yes by entering the number of sets you would like. Enter 0 to indicate you do not want to purchase a set)

* Required Fields

 

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