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1. Name: 

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2. Home Address:
Note* this information is used to determine your House and Senate Districts

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3. City:

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4. Zip code: 

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5. Cell Phone: 

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6. E-Mail:

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7. Which Senators do you know?

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8. Please provide additional information about the nature of the relationship with any Senators you know, such as:  college friends, kids in activities together, church, live in their neighborhood, etc.

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9. Which Representatives do you know?

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10. Please provide additional information about the nature of the relationship with any Representatives you know, such as:  college friends, kids in activities together, church, live in their neighborhood, etc.

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11. Which members of the House or Senate Legislative Staff do you know?

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12. Which members of Congress/ US Senate Do you know?

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13. Please provide additional information about the nature of the relationship with any US Senators or Representatives you know, such as:  college friends, kids in activities together, church, live in their neighborhood, etc.

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14. Do you have a client, relative, staff member, etc. with relationships to any Missouri legislators, and if so, which legislators?

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15. Issues likely to come up this year are- reduction in statute of limitations, statute of repose- products, collateral source, asbestos trust fund.  Do you have an interesting case example on any of these issues and if so are you willing to come to Jeff City to testify in committee?  Do you have a client that would testify?

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16. Additional thoughts or comments?

0 of 16 answered
 

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