Please fill out the form below to register

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The North Carolina Plastic Waste Reduction Coalition will be holding an in-person lobby day on May 17th to educate lawmakers on the state of our plastic pollution problem and actions they can take. Please fill out the form below to register. The deadline to register is May 8th at 5PM.

First name *

Last name *

Email Address *

Phone Number

Organization

Organization Address (to be used to set up meeting with representative)

Home Address (to be used to set up meeting with

representative)

Please let us know your comfort level with lobbying:

I have never lobbied/ participated in a lobby day

I have participated in a lobby day or meeting once or twice

Not a professional but have some experience

I am a professional lobbyist

Clear selection

Which pre-lobby day training will you attend: *

Thursday May 11th, 1-2PM

Monday, May 15th, 3-4PM

Neither of those times will work for me

Any other thoughts or questions you'd like to share

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of The Public Interest Network. Report Abuse

Forms