Exit this survey

Library Advocacy Day

1. Library Advocacy Day

Please fill out this brief survey to assist the State Library in coordinating Library Advocacy Day in Washington DC on June 29, 2010

Question Title

* 1. Contact Information

Name: *

Library: *

Address: *

Address 2:

City/Town: *

State:

ZIP: *

Email Address: *

Phone Number: *

Question Title

* 2. Your Job Title

Question Title

* 3. Which Congressional District do you live (not work) in?

Question Title

* 4. Will you be available between 1:00 pm and 5:00 pm on the afternoon of the rally to visit your congressional office?

Question Title

* 5. Comments?