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Capitol Salute
March 27-28, 2001

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Capitol Visitation

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Yes! I want to protect Texans from attempts to lower the quality of eye care in this state and will attend Capitol Salute on Feb 16 and/or 17 or Capitol Visitation on some other day.

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Registering For*:

Capitol Salute, Feb. 16
Capitol Salute, Feb. 17
Capitol Salute, Both Feb. 16 & 17

Other Capitol Visitation
Date for Other Visitation
Legislators are in there offices far more on Tuesday and Wednesday than other days of the week. If you come on Monday, Thursday or Friday, you are likely to visit with staffers only.

Name*

City*

Home ZIP* (9 digit if known)

Office ZIP* (9 digit if known)


Other Cities in which you practice

Arrival Time*:

8 AM      Other:
Departure Time*:
4:30 PM      Other:
Telephone*
Fax*
Email*

Are there any legislators you know personally or would like to visit in particular?

Are there any other ophthalmologists with whom you plan to attend?

* An asterisk indicates required field.