* 1. Please fill out the following information.

* 2. Who was at the meeting with you?

* 3. Whose office did you visit?

* 4. Who did you meet with? Please include the name and title of those who attended from the Member's office.

* 5. Are you aware of any specific preservation issues in this representative's district?

* 6. Is this Member on the Congressional Historic Preservation Caucus?

* 7. Did you discuss historic tax credits?

* 8. Did you discuss the Historic Preservation Fund?

* 9. Please describe any other topics discussed.

* 10. Is follow-up with this person necessary?

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