Springfield Legislative Day Sign Up Form

Springfield Legislative Advocacy Day is Thursday, May 9th, 2013
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1. Your Contact Information:
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2. To help us plan please let us know your anticipated travel arrangements:
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3. Have you met with your State Senator or Representative?
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4. Please share any special relationship you have with the cause:
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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?
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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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