Congressional Liaisons Survey

 
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1. Do you (or one of your employees) know a Member of Congress, or their staff, personally?
2. If you answered "yes" to question #1, please provide your name, employer, email address and phone number. If you answered "no" to question #1, please proceed to questions #5 and #6.
3. If you answered "yes" to Question #1, please list the names of the Member(s) of Congress (or their staff).
4. Please describe your relationship with the Member of Congress (or their staff) including how long you have known the individual. You do not need to complete questions #5 or #6.
5. Are you willing to assist the Title Action Network in fostering a relationship with the Members of Congress from your state?
6. If you answered "yes" to question #5, please provide your name, employer, email address and phone number and we will reach out to you soon.
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