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Sign-up to become an e-Advocate

 
Your Contact Information:
Email Address:
  
Prefix:
  
First Name:
 
Last Name:
 
Suffix:
   (e.g. M.D., R.N., Jr.)
Street Address:
 
City:
  
State:
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Zip Code:
  You can look up your Zip+4 zip code here.
County or Parish:
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Telephone:
  
 
About Yourself:
Do you have lupus?
  (optional)
Age
   (You must be 18 or older)
   
Email Preferences:
  I wish to receive the advocacy update email newsletter which provides information about pending legislation, policy changes and action alerts.
  I wish to receive information about upcoming advocacy day events in Washington, DC and my state capital.
 
Please notify me of nearby advocacy events, such as town hall meetings, congressional hearings, or legislative briefings.
  Please do not share my information with other advocacy organizations.
 
 
 

 
 
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