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Name
Only your first name and last initial will be shown publicly.
Organization/Company
If you do this stuff professionally and want that known publicly.
E-Mail
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Password
Password Again
Enter it one more time so we can check for typos.
Website Address
Only, of course, if you have a website.
ZIP
So we can ID your legislators, for site customization.
Mailing List May we e-mail you (only rarely)?

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