2020 Indiana Wing State Legislative Day Sign-up
This form must to be completed by all members who will be attending the State Legislative Day event on Monday, February 3, 2020 at the Indiana Statehouse.
First Name *
Last Name *
CAP Grade *
(ex C/Amn, C/SMSgt, C/2d Lt, etc)
Charter # *
(ex GLR-IN-xxx)
Age *
Your State Representative *
Street Address *
City *
Zip Code *
Parent / Guardian Name *
Email Address *
Daytime Phone *
School You Attend *
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