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THE FAMILY HEALTH CARE DECISION ACT
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I plan to testify at the December 8, 2005 hearing on the Family Health Care Decision Act. | ||
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I plan to attend, but not testify. | ||
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I require assistance and/or handicapped accessibility information. Type of assistance required: |
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Name:
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Title:
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Organization (if applicable):
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Address:
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City/State/Zip:
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Telephone:
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Fax:
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E-mail:
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