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The Senate of Pennsylvania and my state senator will retain and utilize the information I provide for internal use only and will not sell, transfer, disclose, or distribute my personal information to any third party. Except to the extent that I am participating in a live program, the Senate of Pennsylvania and my state senator will retain and utilize the information I provide for internal use only and will not sell, transfer, disclose, or distribute my personal information to any third party.

I agree to be responsible for any costs incurred to access or use the Internet or other electronic services or to participate including any phone, mobile device, message, data, or other fees or charges.

In compliance with applicable ethics rules, only telephone meeting registrations from constituents of PA State Senator XXXX’s District will be accepted. I represent that I am a resident in PA State Senator XXXX’s District. I understand that I can revoke this authorization at any time using the provided cancellation link.