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A Brief U.S. Citizen's Declaration
Regarding the Use of Nuclear Weapons

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A Citizen's Renunciation of Nuclear Weapons

Mindful of the extreme dangers and costs that nuclear
weapons bring both to the world and to those who rely on
them, and mindful of America's moral and spiritual need
to serve life rather than building instruments of death,


I, ______________________________________,
a citizen of the United States of America,

renounce, withdraw my citizen's consent for, and oppose any design, production, testing, planning for use, or use of nuclear weapons by the United States, against any nation, group, persons or person, at any time, and under any circumstances. I declare to my elected representatives and to all agencies of the United States government that if I die in an act of mass murder against the United States, I do not want further acts of mass murder committed in my name. I make this declaration in my own name and in the name of

________________________________________________.

Signed this _____ day of ______________, in the year _____:

________________________________________________

resident of ______________________________

City

                ______________________________

State and Zip Code

and witnessed by:

________________________________________________

________________________________________________