SEIU Lobby Day 2020 Registration
First Name *
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Last Name *
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Home Address *
This is needed to connect you with the correct legislator
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City *
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Zip Code *
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Phone *
By providing my phone number I understand that SEIU and its affiliates may call me on my cellular phone using automated calling technologies.
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Email
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Translation Needs?
If you need a translator, what language do you speak?
Team Lead
Would you like to learn more about being a team lead for your group
Transportation Needs
Do you have any special transportation needs?
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Dietary Restrictions
Do you have any food related needs or restrictions?
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Comments
Anything else we should know to help make your lobby day successful?
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Information Release Denial
Check this box if you do not want SEIU to share your name and address with your legislator for the purpose of setting an appointment
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