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

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1. Contact Information (Required.)

Name: *

Library: *

Address: *

Address 2:

City/Town: *

State:

ZIP: *

Email Address: *

Phone Number: *

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2. Your Job Title

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

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

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5. Comments?