Contact Report Form for Doss Proposal

Question Title

* 1. Your Info

Name

Title

City/Town

Question Title

* 2. Senator

Question Title

* 3. How did you contact your Senator?

Question Title

* 4. How did your Senator respond?

Question Title

* 5. Representative

Question Title

* 6. How did you contact your Representative?

Question Title

* 7. How did your Representative respond?