North Carolina DSA Chapters - Medicare For All Organizers - Contact Info - Dec. 2020
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Email *
Full Preferred Name *
Chapter Name (or Name of Your Organizing Committee) *
Specific role in Your Chapter (Are you a chapter officer? Or leader in your Medicare For All or Health Justice working group or committee?)
Do you work in the health industry at all? (This could be anything from an admin, to facilities maintenance, to being a physician.)
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