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* 1. Your Name

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* 2. Your email address

Please share information about your meeting with your House of Representatives member.

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* 3. Which House of Representatives member did you meet with? Please include staffer name as well.

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* 4. Did the staffer or Representative have a connection to cancer? If yes, please provide details.

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* 5. Did the staffer or Representative show interest in supporting the CCPCA? If so, please provide details.

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* 6. Did the staffer or Representative have questions about the legislation that NCCS needs to follow up on?

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* 7. Please share any other details that may be important:

Please share information about your meeting with your first Senate meeting.

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* 8. Which Senator did you meet with? Please provide name of staffer as well.

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* 9. Did the staffer or Senator have a connection to cancer? If yes, please provide details.

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* 10. Did the staffer or Senator show interest in supporting the CCPCA? If so, please provide details.

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* 11. Did the staffer or Senator have questions about the legislation that NCCS needs to follow up on?

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* 12. Please share any other details that may be important:

Please share information about your meeting with your second Senate meeting.

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* 13. Which Senator did you meet with? Please provide name of staffer as well.

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* 14. Did the staffer or Senator have a connection to cancer? If yes, please provide details.

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* 15. Did the staffer or Senator show interest in supporting the CCPCA? If so, please provide details.

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* 16. Did the staffer or Senator have questions about the legislation that NCCS needs to follow up on?

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* 17. Please share any other details that may be important:

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