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Instructions: The questions below ask you for your name, city, state, zip code, email, and any comments you wish to make. The petition will show only your name, city, state, and any comments you put in the comments box. So, your email address, zip code, and Congressional District will NOT be shown on the petition. We will not share your email address or zip code without getting your permission first.
If you fill out this form, you will be added to the petition. If you do not wish to be added, you must delete your answers to the questions.
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