Lobbyist Registration Form - Wyoming Secretary Of State Page 2

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Additional Principal - (If Applicable)
(Organization, Association, Labor Union Corporation, or Special Interest Group to be represented.)
Organization Name:
Phone Number:___________________________
______________________________________
(Acronyms must be spelled out.)
(Optional)
Organization Address:______________________________
Email:
__________________________________________
Street/P.O. Box
(Optional)
____________________________________
City
State
Zip
Organization Name:
Phone Number:___________________________
______________________________________
(Acronyms must be spelled out.)
(Optional)
Organization Address:______________________________
Email:
__________________________________________
Street/P.O. Box
(Optional)
____________________________________
City
State
Zip
Organization Name:
Phone Number:___________________________
______________________________________
(Acronyms must be spelled out.)
(Optional)
Organization Address:______________________________
Email:
__________________________________________
Street/P.O. Box
(Optional)
____________________________________
City
State
Zip
Organization Name:
Phone Number:___________________________
______________________________________
(Acronyms must be spelled out.)
(Optional)
Organization Address:______________________________
Email:
__________________________________________
Street/P.O. Box
(Optional)
____________________________________
City
State
Zip
Please make additional copies of this page as needed.
Please mail form to: Wyoming Secretary of State’s Office
Blank PDF available at:
Attn: Election Division
2020 Carey Ave, Ste 600
Cheyenne WY 82002

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