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Name:
Company/Organization Name:
Street Address:
City: State: Zip:
Phone:
Fax:
Email Address:
Company/Organization WWW Address:
Have you previously filed disclosure reports electronically?
YES NO
If yes, with which company did you file?
Select all that apply:
NetFile-NetLobbyist
RaceTrax, LLC
RunForOffice.com
StateCraft, Inc.
Will you prepare the required lobbying disclosure reports for any of your clients?
Yes No
If yes, for how many clients will you prepare reports?
Do you currently use the World Wide Web for any of these activities? Select all that apply:
Federal Legislation Tracking CA Legislation Tracking
Client Updates/Correspondence Grassroots Organizing
Action Alerts Event/Conference Registration
Newsletter Distribution and Archive Federal Legislator Vote Score card
CA Legislator Vote Score card  
Have you ever considered using the World Wide Web for any of these activities? Select all that apply:
Federal Legislation Tracking CA Legislation Tracking
Client Updates/Correspondence Grassroots Organizing
Action Alerts Event/Conference Registration
Newsletter Distribution and Archive Federal Legislator Vote Score card
CA Legislator Vote Score card  
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