Small Business Empowerment Forum | Ft. Lauderdale | May 20, 2011

Please use the form below to submit your question for U.S. Rep. Allen West and/or Florida Senate President Mike Haridopolos.

If you would like to ask your question in person, click here to register.

* 1. Question Submitted By:

* 2. Unless you indicate that you would like to remain anonymous, your first name, last initial and city/state will appear with your question.

* 3. Are you currently a Member of the Alliance for Affordable Services?

* 4. If you are an Alliance Member, please provide your Member Number (it is 12 characters long)- NOT REQUIRED

* 5. Please use the box below to enter your questions to U.S. Rep. Allen West and/or Florida Senate President Haridopolos.

T