Complete Only Once Per Visit

If you are part of a larger group of advocates, please make sure this form is completed by only one member of the group.

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* 1. Your Contact Information

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* 2. You met with a member of:

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* 3. Your visit was:

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* 4. Member of Congress whose office you visited:

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* 5. State:

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* 6. Name of legislative aide with whom you met:

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* 7. Aide's email address:

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* 8. Who joined you on your meeting (if applicable):

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* 9. Tell us about your meeting (did they indicate interest in/support of the topic, concerns they have, reasons why they don't support our key points, etc.)

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* 10. Is there anything that Treva Johnson or the FFTA Public Policy Committee can do to follow-up on your meeting?

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