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  1. Become a Key Contact

    Your response to the questions below will help the Wisconsin Academy of Family Physicians in our communications with members of the Wisconsin Legislature.

    We appreciate the time you are taking to become a Key Contact. Your help is invaluable as we work to ensure our voice is heard in the state capitol.

  2. Personal Infromation
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  9. valid email address must be provided
  10. Are you willing to write letters/make phone calls to elected officials, if requested?
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  11. Have you ever testified before a legislative committee?
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  12.  
  1. Your State Senator Information
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  3. My relationship (if any) with my state senator is
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  1. Your State Representative Information
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  3. My relationship (if any) with my state representative is
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  5.  
  1. Other members of the Wisconsin Legislature

  2. Legislator
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  5. Legislator
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  8. Legislator
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Wisconsin Academy of Family Physicians  |  210 Green Bay Road  |  Thiensville, WI 53092
Phone: (262) 512-0606  |  Fax: (262) 242-1862

© 2014 Wisconsin Academy of Family Physicians

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