Full Name or Name of Organization
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If you are a constituent please share your name. If you are speaking on behalf of an organization please share your organization's name.
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Address
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Street Address
Street Address Line 2
City
State / Province
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Person Speaking
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Name of person who will be speaking at the meeting.
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Contact Person
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Name of the person of contact regarding topic/issue.
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Email Address
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Please share your email to receive updates on the Delegation Agenda
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Phone Number
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Please enter a valid phone number.
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Registered Lobbyist
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Are you or your organization registered as a lobbyist? Select yes or no.
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Topic of Presentation/Issue
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Describe the issue/topic you will be addressing with the Delegation.
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Are you submitting documents for members to review?
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