Please answer the following basic questions.

What is your name? (First & last, if possible, please.)

What is your address? (Street address requested, but optional)

What is your telephone number?

What is your county's name?

What is your email address?

Would you be available for periodic public demonstrations?YesNo

How many miles would you be willing to travel for J.A.I.L.?

I have primary leadership qualities.

I have secondary leadership qualities.

I have public speaking qualities.

I have abilities in Public Relations.

I have experience as a radio talk show host.

I have knowledge in accounting or banking.

I have secretarial skills.

I have a good phone personality.

I have webmastering talent or computer skills.

I have experience in fundraising.

I will donate a few hours of time for misc. projects for J.A.I.L. as requested.

I have experience in sales.

I acknowledge that there will be a dues of $10 to National J.A.I.L. simi-annually, and agree to such dues.

Although optional, I will agree to donate at least $20 per month in regular support to National J.A.I.L. because I believe in this cause.

I have signmaking, artistic, or printing skills that may be helpful to J.A.I.L.

I have a legal background in law.

I am an attorney.

As an attorney, I would be willing to offer some legal services to J.A.I.L. if needed.

I am interested in knowing more about getting a JAIL4Judges T-Shirt.

Do you have other professional skills or talents that may be potentially helpful to the cause of J.A.I.L.,
which we have not covered above?

Please give us a background about yourself as to your past experiences and highlights,
and what you think of J.A.I.L., and why you are taking up this cause.

Thank you for taking the time to dedicate yourself to your country as a JAILer.

Ronald Branson,
Author/Founder of JAIL4Judges