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* 1. First and last name

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* 2. Organization (If applicable)

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* 3. Email address 

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* 4. What issues will you prioritize this legislative session? (choose all that apply)

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* 5. Are there any other issues you would like to have legislative support for or to oppose?

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* 6. Would you like the WVEC lobby team to prioritize your issue? If so, which one?

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* 7. What resources can you contribute on these issues during the legislative session? (choose all that apply)

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* 8. Are you or your organization able to financially support the WVEC's legislative efforts?

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