Forum Registration

Thank you for registering for the February 11, 2014 Community Forum to discuss local responses to HB 3460. This is a public meeting to discuss the local impacts of the passage of HB 3460.

Please help us spread the word and encourage other interested individuals to register.

* 1. What is your name?

* 2. What is your title? (Leave blank if not applicable)

* 3. Affiliation or organization? (Leave blank if not applicable)

* 4. What's your Email address?

* 5. What's your phone number? (optional)

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