AICUP Mascot Day

AICUP Institution(Required)

Contact Name(Required)

Contact Email Address (for questions)(Required)

Contact for Day of Event(Required)

Contact for Day of Event Phone Number (for questions)(Required)

X (Twitter) Handle(Required)

Communications/Media Contact (to send pictures from event)(Required)

Communications/Media Contact Email (to send pictures from event)(Required)

Mascot Name(Required)

State Legislative Alumni & Contact Info (if known)

State Legislative Staff Alumni & Contact Info (if known)

Other State Legislators/Staff & Contact Info You Would Like AICUP to Notify

Name

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