NAMI Idaho Conference Registration
First Name *
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Last Name *
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Organization
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City, State *
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Email Address *
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Phone *
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Do you plan on attending advocacy day on Monday, January, 28?
Your city and state above will be used to identify your state legislators in order to schedule your legislative visits. Please let us know if there are other elected officials that you know or would like to meet with during the event:
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Other info you wish to communicate to the event coordinators (e.g. wheelchair access or other accessibility or accommodation needs, questions about the event, will you need to arrive late or leave early, etc.):
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Are you a NAMI member? *
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