2020 AL Day at Capitol, March 4 - Registration

Community/Business Information

This information is to help Patrick Gaines, OKALA lobbyist to better prepare for the Assisted Living Day at the Capitol. He will try to set up meetings with YOUR legislatures so that you can meet with them face to face.

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* 1. Please provide us the Name of Your Community or Business.

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* 2. What City is your Community or Business Located?

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* 3. What is the Zip Code of Your Community or Business?

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* 4. In addition to your community's information, legislatures enjoy helping their own constituents. They following questions are to help with your personal legislature. What city do you live in?

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* 5. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)