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Don't Let CONGRESS Waste America! Meeting/Event Report Form
Please fill out this form after each contact you have with your House Rep and/or Senators.
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Email
*
Your email
Your Name
*
Your answer
Your Contact Info - in case we should follow up
Your answer
Which member of Congress did you visit?
*
Your answer
State and/or District Number (if you know it)
*
Your answer
Date of meeting or contact
*
MM
/
DD
/
YYYY
How long did the meeting/event last?
Your answer
Who did you talk to? If possible, please provide the name, job title, and contact info of staffer(s)
*
Your answer
What was the response from the Congressmember (or their staffer)? What questions did they ask? Please provide as much detail as possible
*
Your answer
Will you follow up with the Congressmember? Should NIRS do that?
Your answer
Who joined you on the drop-by visit? If possible, please list each attendee's name, email and phone number
Your answer
Send me a copy of my responses.
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