Springfield Legislative Day Sign Up Form

Springfield Legislative Advocacy Day is Thursday, May 9th, 2013
1. Your Contact Information:
2. To help us plan please let us know your anticipated travel arrangements:
3. Have you met with your State Senator or Representative?
4. Please share any special relationship you have with the cause:
5. We will attempt to serve a boxed lunch.
Do you have a special diet you'd like for your boxed lunch?
6. If Applicable:
Do you need any special accommodations to participate?
7. If Applicable:
Please provide the names and emails of additional volunteers who live at this address who would attend with you?
8. How did you find out about this legislative day?
9. If Applicable:
Is there any additional information you would like us to know?
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