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2020 ICAAP Advocacy Day RSVP
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1.
Name:
(Required.)
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2.
Credentials:
(Required.)
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3.
Title:
(Required.)
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4.
Practice/Organization:
(Required.)
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5.
Email address:
(Required.)
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6.
Cell Phone Number:
(Required.)
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7.
RSVP:
(Required.)
Yes, I will attend ICAAP Advocacy Day on Wednesday, May 6
Yes, I will attend the pre-Advocacy Day reception on Tuesday, May 5
Yes, I will attend BOTH the reception and Advocacy Day
No, I cannot attend this year
8.
Please note if you are interested in any of the transportation options below:
Carpool (driver)
Carpool (passenger)
Train from Union Station to Springfield
Other (please specify)
9.
If you know your representatives, please include that information:
Home Address House Representative
Home Address State Senator
Office Address House Representative
Office Address State Senator
10.
Please let us know if you have any dietary restrictions
