Lobbyist Termination Request Form

By clicking submit, I, as Registrant, declare, affirm and represent that I have authority to terminate the registration referenced above. I also declare that I have not conducted, nor will conduct, any lobbying activity on behalf of the entity listed above after the last date of the quarter for which my latest quarterly lobbyist report was submitted. If I wish to conduct any lobbying activity on behalf of the entity listed above in the future, I understand that I must complete a new registration.