Tell Your Story

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* 1. Revenue

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* 2. # Employees

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* 3. % of Business drop off (other, 25, 50, 75, 100)

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* 4. Employees laid off or furloughed (#)

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* 5. How much of your workforce is unionized #

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* 6. Who do you have as a close contact in the White House, Senate or Congress?

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* 7. What’s the hardest thing you face right now?

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* 8. What kind of help do you need to make it through this crisis?

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* 9. Address

Name

Title

Email Address

Mobile Number