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Section 1 of 4 in this document

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San Jose, CA Lobbyist Form

Complete this form every quarter

Name of Lobbyist Firm

Business Address

Address or Location

Contact Email Address

Contact Phone Number

Section 2 of 4 in this document

Lobbyist Details

What type of Lobbyist are you?

Lobbyist Type

In House

Contract

Expenditure

Business Type

Sole Propreitorship

Partnership

Non profit

Name of the persons with an ownership stake

Firm Name

Contractor Type

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Section 3 of 4 in this document

Client Information

Client Email

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First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

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