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* 1. Will you be attending the 2019 Advocacy Day at the Capitol?

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* 2. If yes, please provide your contact information

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* 3. Please check which days you will be attending

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* 4. If you are attending both days, do you need overnight accommodations?

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* 5. If yes, do you need an accessible hotel room?

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* 6. Please list any dietary restrictions below:

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* 7. Do you need help finding the contact information for your legislators and setting up your appointments for May 2nd?

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