Pledge To Meet With Your Elected Officials June recess is coming up-- pledge to meet with your elected officials to advocate for one (or more) of NETWORK's issues. Question Title * 1. What is your first name? Question Title * 2. What is your last name? Question Title * 3. In what city do you live? Question Title * 4. In what state or U.S. territory do you live? Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia (DC) Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Question Title * 5. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305) Question Title * 6. What is your email address? Question Title * 7. What is your phone number? Question Title * 8. Whose office will you meet with? (please include the names, if possible) Question Title * 9. What issue(s) will you advocate for? Immigration Budget Minimum Wage Tax Justice Poverty/Safety Net/Hunger Gun Violence Prevention Environment Convention on the Rights of Persons with Disabilities (Senate Only) Other (please specify) Question Title * 10. Would you like someone from NETWORK to contact you with support for scheduling a lobby visit or providing materials for your meeting? Yes, please help me schedule my meeting Yes, please give me resources to bring to my meeting No, I do not need assistance Question Title * 11. If you are using this form to report back on a visit you recently had, please let us know when you stopped by your representative's office and any notes you have to share. Done