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* 1. First and last name

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* 2. Organization (Or none)

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* 3. Email address and phone number

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* 4. What issues will you prioritize this legislative session? (choose all that apply)

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* 5. Is your organization working on any legislation you would like to see introduced in the 2021 legislative session? If yes, please explain.

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* 6. Rank the legislation that was presented from the last legislative session according to your organizations 2021 legislative priorities.

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* 7. Are there any other issues you would like to have legislative support for or to oppose?

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* 8. Would you like the WVEC lobby team to prioritize your issue? If so, which one?

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* 9. What resources can you contribute on these issues during the legislative session? (choose all that apply)

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* 10. Are you or your organization able to financially support the WVEC's legislative efforts?

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