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Organizational Information

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* 1. Please provide your contact information.

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* 2. May we contact you if we have follow-up questions?

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* 3. Which term best describes the nature of your organization?

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* 4. What services does your organization provide? (Check all that apply)

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* 5. In what counties does your organization provide services? (Please list all that apply)

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* 6. What populations does your organization serve?  (Check all that apply)

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* 7. In working with the people your organization serves, what types of legal issues do you find people typically have?  (Check all that apply)

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