What is your first name?

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* 1. What is your first name?

What is your last name?

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* 2. What is your last name?

What forum are you planning to attend?

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* 3. What forum are you planning to attend?

Will you be coming alone? If not how many in your party?

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* 4. Will you be coming alone? If not how many in your party?

What is your legislative district?

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* 5. What is your legislative district?

What is your email address (will only be used if we need to notify you about this event)

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* 6. What is your email address (will only be used if we need to notify you about this event)

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