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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Business Name (Please provide the name of your business exactly as it should appear on the letter. Spell out the name of your business and avoid acronyms.)

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* 5. What is your role in this business?

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* 6. Business Email

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* 7. Business website

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* 8. Business Logo (optional)

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* 9. I am interested in lending my support to advancing paid leave in Kansas.

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