NAPABA 2011 Lobby Day and Reception
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1.
*
1
. Please provide your contact information.
Please provide your contact information.
Name:
Company:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Country:
Email Address:
Phone Number:
*
2
. Please list your representative. Find your representative here: https://writerep.house.gov/writerep/welcome.shtml.
Please list your representative. Find your representative here: https://writerep.house.gov/writerep/welcome.shtml.
*
3
. Do you plan to atted the Lobby Day kick-off reception on the evening of May 2?
Do you plan to atted the Lobby Day kick-off reception on the evening of May 2?
Yes
No
*
4
. Do you plan to participate in the training session and member visits on Lobby Day, the morning of May 3?
Do you plan to participate in the training session and member visits on Lobby Day, the morning of May 3?
Yes
No
5
. Please list any issues you are interested in supporting on Lobby Day. Examples include immigration, judiciary, civil rights, pay equity, etc.
Please list any issues you are interested in supporting on Lobby Day. Examples include immigration, judiciary, civil rights, pay equity, etc.
6
. Have you participated in a Lobby Day before? If so, with what organization?
Have you participated in a Lobby Day before? If so, with what organization?
7
. Additional comments and questions here:
Additional comments and questions here:
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