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* 1. Your Information

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* 2. Who did you meet with? 

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* 3. Legislator's Name

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* 4. Chamber

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* 5. Party

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* 6. Staff member information (if applicable)

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* 7. NCIL Priority Issues Discussed

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* 8. Please provide key discussion points or information you were provided.

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* 9. Was a follow-up or further information requested?

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* 10. How would you rate the meeting? 

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