Legislative Action Day
Exit this survey

1. Legislative Action Day Registration Form

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1. I will be attending the NPCNYS Legislative Action Day on Feb. 23, 2010.

I will be attending the NPCNYS Legislative Action Day on Feb. 23, 2010. Yes

We look forward to seeing you on February 23, 2010 in Hearing Room A of the Legislative Office Building in Albany. The program starts at 11am. To help us understand how many people to expect, we ask that you complete this online registration. Only one response per program is needed.

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2. First Name

First Name

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3. Last Name

Last Name

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4. Email Address

Email Address

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5. Agency

Agency

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6. Phone Number

Phone Number

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7. County

County

8. There will be others attending from my agency/program. Our estimate number of people attending is:

There will be others attending from my agency/program. Our estimate number of people attending is:

9. We have an appoinment with the following members of the Assembly and Senate:

We have an appoinment with the following members of the Assembly and Senate:

Legislative Action DayExit this survey

1. Legislative Action Day Registration Form

*1. I will be attending the NPCNYS Legislative Action Day on Feb. 23, 2010.

*2. First Name

*3. Last Name

*4. Email Address

*5. Agency

*6. Phone Number

*7. County