NELA Lobby Day 2013 Hill Visit Schedule Form

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Please use this form to report confirmed Lobby Day 2013 Hill Visits. Be sure to list everyone who is expected to attend the meeting because we will use this information to create individual Hill Visit Schedules for each participant. Should you have questions or need assistance, contact Julie Strandlie at jstrandlie@nelahq.org or (202) 898-2880, ext. 115.

Should the time or location of any meetings change prior to Lobby Day (October 17), do not submit a new form. Instead, please contact Diana Sands at dsands@nelahq.org or (415) 296-7629, ext. 205.

Thank you for reporting your scheduled Hill visits for NELA Lobby Day 2013!

State Captain First Name *

State Captain Last Name *

State Captain Email Address

State Captain Cell Phone Number

I am reporting a confirmed meeting with the office of . . .

Title *

First Name *

Last Name *

Is the Senator or Representative expected to attend the meeting? *

Meeting Location: *

House or Senate Office Building room number for the meeting: *

e.g., 2431

Appointment Time: *

Time

Details about the confirmed meeting:

Name of Congressional staff member who scheduled the meeting:

Email address of that staff member (if known):

Issues to be discussed: *

If selecting "Other" please specify the other issues to be discussed in the adjacent text box.

Civil Justice Tax Fairness Act of 2013

Arbitration Fairness Act of 2013

Other:

Required

Name(s) of Lobby Day 2013 participants attending the meeting:

Submit

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