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Thank you for agreeing to serve as an Honorary Chairman of the Business Advisory Council! Your input and participation are vital for maintaining our Republican Majority in the House of Representatives.

Please fill out the following questionnaire so we can complete the roster of Honorary Chairmen and begin gathering your input about your business and issues that have an impact on you.

Thank you again for your willingness to serve!

Name:
Address:
City:
Zip:
Phone:
Fax:
Email:
Company name:
Business Type:

(restaurant, manufacturing, accounting, etc)
Years in business:
No. of employees:
       

 

 

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