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Advocacy for Increased RLS Research
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1.
Please explain how RLS has impacted your life and why more RLS research is needed: (in approximately 150 words or less)
(Required.)
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2.
Do you give the RLS Foundation permission to use your story in letters to legislators requesting more funding for RLS research?
(Required.)
Yes
No
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3.
Name:
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4.
Address:
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5.
City:
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6.
State:
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7.
Zip:
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8.
Email address:
(Required.)
9.
Telephone number:
