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PETITION

At present, Wisconsin law permits abortion only if the mother's life is in danger. We, the undersigned, feel that this law should be repealed and that abortion should become a decision which the person or family involved should be free to make as their own religious beliefs, values, emotions and circumstances may dictate; and that any woman should be able to secure a safe abortion, upon her own request, at a reasonable fee, by a licensed and competent physician.

NAME, ADDRESS, CITY, ZIP CODE, PHONE NUMBER