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Tell Us About Your Advocacy Efforts
We're excited to learn you have contacted your legislator. Please fill out the form below so we can follow up with your legislator. Information marked in red is required. After completing the form click on the Submit button below.
Please select your Title
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Please enter your Email Address
Please enter your Legislator's Name
Tell us how you contacted your legislator
Describe fully the issue you discussed with your representative
Indicate if the Legislator asked for a follow-up
If the legislator requested a follow up, please describe.
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