Representative Ajay Pittman Official Constituent Form

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Thank you for stopping by or contacting Representative Pittman’s office. We kindly ask you to complete the form below to help us better understand your needs. Our team will review your submission and get back to you within 2-3 business days. We understand that some questions may require immediate attention, which is why we offer the option to call us at (405) 557-7393. If we are unable to answer the phone, please feel free to leave a detailed voicemail with your name, phone number, email address, and physical address. You are also welcome to email us at ajay.pittman@okhouse.gov. Your feedback is important to us and we strive to provide the best customer service experience possible.

Name (First, last) *

Phone *

Email *

Address *

Reason for contacting the office of Representative Ajay Pittman *

Constituent Issue & Concern

Bill Support or Opposition

Citation Request

Meeting request

Event Attendance Request

Interview

Stopped by to say hello

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Please provide additional details for the option submitted above. *

Bill Questions: If you have questions or concerns about a specific bill please inform us of the bill number and author. Please include if you oppose or support the bill, and any supporting information you may have.

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