 Required Field
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First Name:
First Name is required
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Last Name:
Last Name is required
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Phone Number:
Phone Number is required
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E-mail:
Name is required
Email address is invalid.
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Application Username:
Username is required
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Are you a lobbyist or delegate?
User Type is required
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Name of Lobbyist:
(if you are a delegate)
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Are you trying to register or file?
Register or File is required
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Year of Registration/Filing:
Year is required
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Date When You Tried to Register/File (mm/dd/yyyy):
Date is required
Incorrect format for Date of Registration/Filing.
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Description of Your Issue:
Description of Issue is required
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Error Message if You Received One:
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