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First name*

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Political party

What are your goals?

Shape public opinion on critical issues

Launch an advocacy group

Build a career as a political opinion leader

Become a political appointee in a presidential administration

Run for office

Current Industry/Field

Annual Individual Income Level or Organizational Budget

< $100,000

$100,000 - $200,000

$200,000 - $500,000

$500,000 - $1M

$1M - $5M

$5M+

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