Maryland’s 2019 Cannabis Legalization Lobby Day in Annapolis: Registration
Please complete this form to register your participation in Maryland’s 2019 Cannabis Legalization Lobby Day in Annapolis. One form must be completed for each registrant using the address listed on their Maryland Voter Registration card (or where they intend to register to vote).

ONLY REGISTER IF YOU INTEND TO COME TO ANNAPOLIS ON LOBBY DAY

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Tuesday, February 5, 2019 (8:00 AM - 4:00 PM) - Annapolis, MD
If you do not wish to register using Google forms, please contact us directly at: LegalizeMD.2019@gmail.com
First Name *
Last Name *
E-mail *
Organization (if applicable)
Address 1 *
Address 2
City *
Zip *
Phone number (optional)
You live in which Maryland state Legislative District? (Select your District from the drop down list. If you are unsure of your District, please visit www.mdelect.net or select "N/A") *
Please indicate if any of the following apply to you:
Will you come to Annapolis on Tuesday, February 5, 2019? *
No registration payment is required. However, we do have expenses! At what level are you able to contribute? *
Need a ride? Share a ride! Which of the follow applies to you?
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