From the Office of Rep. Darya Farivar

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* 1. What is your first and last name?

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* 2. What is your email?

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* 3. Would you like to stay up to date on events and legislation related to my work on issues affecting Middle Eastern and Central Asian communities?

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* 4. Do you have any affiliation with a community organization?

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* 5. Will you require any accommodations such as interpretation, translation, or any ADA accommodations?

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* 6. How many total people are attending in your party?