Registration - PACER Day at the Capitol | March 5, 2020

Thank you for registering for PACER's Day at the Capitol! Please provide the information below so we can register you for the event and assist with scheduling meetings with your legislators.

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* Full Name:

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* Organization

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* Home Address

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

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* Email Address

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* Phone number (Best way to contact you in case any meeting details change)

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* What best describes you?

Parent

Professional

Student

None of the Above

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* Scheduling with legislators can be challenging due to frequent changes with their schedules. How late in the day would you be available to attend a meeting? Are there any times during the day when you are not available?

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* Please let us know if you do not want assistance scheduling legislative visits:

I will schedule my own meetings with my legislators.

Other (please describe)

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* Full Name:

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* Organization

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* Home Address

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* Email Address

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* Phone number (Best way to contact you in case any meeting details change)

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* What best describes you?

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* Scheduling with legislators can be challenging due to frequent changes with their schedules. How late in the day would you be available to attend a meeting? Are there any times during the day when you are not available?

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* Please let us know if you do not want assistance scheduling legislative visits:

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* Please leave us any additional information or feedback: