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* 1. Please confirm your current city and state:

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* 2. Are you currently aware of issues related to childhood cancer or healthcare that might come up in the 2019 legislative session in your state? If so, please tell us a little about the issue(s) you're anticipating.

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* 3. Please rank the following state-level issues by your interest in engaging around them:

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* 4. Please select the type of work you're willing to do to help achieve legislative success in your home state around some of these issues. Select all that apply:

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* 5. Email address, so we can follow up:

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