Legislative Advertising Submission Form Legislative Ad Submission Name of Legislator Submitting First Last Email of Legislator Submitting CaucusAdams BlueAdams GreenJefferson BlueJefferson GreenMadison BlueMadison GreenWashington BlueWashington GreenFreedom BlueFreedom GreenJustice BlueJustice GreenLiberty BlueLiberty Green"Politically Correct" Box This advertisement does not include any defamatory (attacking) language against any individual or group and all information included is confirmed to be accurate.How many copies would you like printed (your caucus has a total of 5 sheets across all advertising)?12345FileMax. file size: 256 MB. Student Self-Diagnostic Guide Office & Mailing Address: SSI4407 W. St. Joe Hwy.Lansing, MI 48917 Phone: 517-321-6233 Email: ssi@ssionline.org