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CONTACT INFORMATION:
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First Name:
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Title:
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Last Name:
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Organization:
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Title:
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Address:
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City:
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Phone:
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( ) - |
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State:
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Fax:
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( ) - |
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Zip:
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Email:
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House District:
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Representative’s Name
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Senate District:
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Senator’s Name
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If you do not know this information, you can check the website
http://www.capitol.state.tx.us under “Redistricting” and “Who Represents Me?” then type in your home street address; phone Capitol bill status at 1-877-824-7038; or, we will be glad to
look it up for you when we receive this form.
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I
plan to attend the 4-6pm Training Session on Sunday, Feb.
25th
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YES NO |
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I
plan to attend the Lobby Day on Monday, February 26th
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YES NO |
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Will you be coordinating a delegation?
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YES NO |
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If so, how many people total?
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Please ask each of them to register. Thank you!
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