2017 Grassroots Hill Appointments

Meeting Organizer:

Question Title

* 1. Meeting Organizer:

Meeting Organizer Email:

Question Title

* 2. Meeting Organizer Email:

Legislator First Name:

Question Title

* 3. Legislator First Name:

Legislator Last Name:

Question Title

* 4. Legislator Last Name:

State:

Question Title

* 5. State:

District (select S for Senate candidate):

Question Title

* 6. District (select S for Senate candidate):

Appointment Date and Time:

Question Title

* 7. Appointment Date and Time:

Time

Meeting Location Building:

Question Title

* 8. Meeting Location Building:

Cannon

Longworth

Rayburn

Russell

Dirksen

Hart

Capitol

Other (please specify)

Meeting Location Room:

Question Title

* 9. Meeting Location Room:

Meeting with:

Question Title

* 10. Meeting with:

Member

Staff

If meeting with staff, staff name:

Question Title

* 11. If meeting with staff, staff name:

AIA members attending other than meeting scheduler (If more than 4 attending, email attendance list to amandastratton@aia.org):

Question Title

* 12. AIA members attending other than meeting scheduler (If more than 4 attending, email attendance list to amandastratton@aia.org):

Member 1:

Member 2:

Member 3:

Member 4:

Person responsible for materials pick up:

Question Title

* 1. Meeting Organizer:

Question Title

* 2. Meeting Organizer Email:

Question Title

* 3. Legislator First Name:

Question Title

* 4. Legislator Last Name:

Question Title

* 5. State:

Question Title

* 6. District (select S for Senate candidate):

Question Title

* 7. Appointment Date and Time:

Question Title

* 8. Meeting Location Building:

Question Title

* 9. Meeting Location Room:

Question Title

* 10. Meeting with:

Question Title

* 11. If meeting with staff, staff name:

Question Title

* 12. AIA members attending other than meeting scheduler (If more than 4 attending, email attendance list to amandastratton@aia.org):

Question Title

* 13. Person responsible for materials pick up: