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* 1. Provide your contact information below and a member of ASA/NCCAOM staff will contact you to fulfill your virtual meeting request.

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* 2. Please indicate whether you would like to meet virtually, or in person in Washington, D.C.

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* 3. Please provide your affiliation to H.R. 3133, the "Acupuncture for Our Seniors Act"

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* 4. Please state your preferred availability Monday-Friday between 10:00am and 4:30pm ET.

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