LHF's Louisiana Capitol Days Advocacy Registration

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* 1. Registrant's full name and age. (All attending must register separately)

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* 2. Email Address

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* 3. Phone Number

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* 4. Have you ever attended LHF's Louisiana Capitol Advocacy Day before?

Yes

No

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* 5. Will you be able to attend the educational training session Monday, May 24th at 6PM?

Yes

No

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* 6. Will you require hotel accommodations (Provided by LHF)?

Yes

No

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* 7. Will you be requiring transportation/mileage reimbursement? If so please provide your address.

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* 8. Questions or comments? We welcome all!