HMM Organization

1.Email(Required.)
2.First Name(Required.)
3.Last Name(Required.)
4.Postal Code(Required.)
5.Organization(Required.)
6.Phone
7.Can we list your organization as supporting HIV Criminalization/Public Health Law modernization efforts in Indiana?  We would include your group on our homepage listing.  Being listed on our homepage does not necessarily mean you support any specific bills.
8.Can we list your organization as supporting HB1325?