NFWL Human Trafficking Summit- Interest Form

Thank you for showing interest in our summit!

We are so excited for this summit and we hope you are too. Please fill out the interest form below. Because we have a limited number of spaces available for this event, filling out this form allows us to place you on our list of interested attendees. We will notify you of the status of your interest form within 10 days of receiving your response. We ask that you submit this form as soon as possible to be considered.

*Note: The summit is only open to currently elected women.*

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* 1. Your Contact Information

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. What is your elected office?

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* 3. What committees do you sit on?

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* 4. Have you ever sponsored legislation related to child sex trafficking?

Yes

Other (please specify)

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* 1. Your Contact Information

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* 2. What is your elected office?

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* 3. What committees do you sit on?

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* 4. Have you ever sponsored legislation related to child sex trafficking?

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* 5. Why do you wish to attend this summit? (2 sentence maximum)