Arts Advocates: Register Here!

Dear Arts Advocates: Arts Advocacy Day is coming March 6th, 2018, please complete the  following form to register for MCA's Arts Advocacy Day by Friday, March 2nd, 2018. For more information, please visit our website at www.artsmn.org, contact us by phone at (651) 251-0868 or by email at staff@artsmn.org.

Please remember to click "OK" to start survey and to proceed to the next question.

First Name:

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* 1. First Name:

Last Name

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* 2. Last Name

Permanent Home Address:
Street:

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* 3. Permanent Home Address:
Street:

City, State, Zip:

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* 4. City, State, Zip:

Current Mailing Address (if different):

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* 5. Current Mailing Address (if different):

Email Address: (Email required! Thank you for helping us to reduce our mailing costs. All materials will be sent via email unless you request snail mail. If you do not have an email write NONE)

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* 6. Email Address: (Email required! Thank you for helping us to reduce our mailing costs. All materials will be sent via email unless you request snail mail. If you do not have an email write NONE)

Daytime Phone:

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* 7. Daytime Phone:

Twitter Handle: (If Applicable)

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* 8. Twitter Handle: (If Applicable)

Legislative District: (If you don't know your district we would be happy to look it up for you!)

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* 9. Legislative District: (If you don't know your district we would be happy to look it up for you!)

Arts organization(s) you are affiliated with: (If none, write NONE)

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* 10. Arts organization(s) you are affiliated with: (If none, write NONE)

State legislators you know personally or would like to meet that day: (We will do our best to accomodate all requests)

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* 11. State legislators you know personally or would like to meet that day: (We will do our best to accomodate all requests)

Personal Accomodations: Please note any needs related to transportation, communications, interpreting or alternative format materials and we will do our best to accomodate them.

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* 12. Personal Accomodations: Please note any needs related to transportation, communications, interpreting or alternative format materials and we will do our best to accomodate them.

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