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* 1. Your Name

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* 2. Agency Name

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* 3. Which State did you represent on the visit?

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* 4. Office Visited

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* 5. Name of Person(s) you met with

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* 6. Bill(s) or Issue(s) Discussed

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* 7. Comments of Note from Senator, Representative, or Staff Member(s)

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* 8. ANCOR follow-up needed

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