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* 1. State your legal company name:

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* 2. What is the operating name of your company (DBA)?

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* 3. How many salaried employees do you have?

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* 4. How many contract workers do you employ? (Or typically employ)

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* 5. What is you U.S. Congressional District? *Note: If you have office in multiple districts, please notate them all. 

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