2. Name
4. City
6. Email*
8. Electronic Signature Agreement*

   As a concerned citizen, I am asking the California State Legislature to act on the fentanyl crisis this legislative session. Our community members are being sold poison and dying at rapid levels. We need to collectively combat this issue as a state. 

   1. Please act on the fentanyl crisis
10. Electronic Signature
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12. 1. Receive an email copy of this form.
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