Legislative Action Day 2015 Registration Form

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Please complete this form to let us know if you will be attending the Massachusetts Coalition for the Homeless' Legislative Action Day on Thursday, March 5th, starting at 9:30 a.m. at the State House in the Great Hall. The event is sponsored by State Representative Jim O'Day.

Do you plan to attend the Coalition's Legislative Action Day on Thursday, March 5th? *

(Please note that due to logistical limitations if you register after 12 noon on March 4th, your name may not be on the printed registration list at the front desk and you may not receive a full packet of materials.)

Yes, I will be attending

I am unsure, but please send me follow-up information

No, I will be unable to attend-- but will call my legislators that day (State House switchboard: 617-722-2000)

First Name *

Last Name *

Organization or Legislative Office *

Email Address *

If you don't have your own email address, is there one where we can reach you? If not, please write in n/a.

Phone Number

City/Town

Will you be joined by others from your office or organization?

If so, please indicate their names here.

Appointments with State Legislators on Legislative Action Day

Meeting with state representatives and senators is an effective way to let them know that you are concerned about homelessness and to advocate for issues you care about. This is a time to discuss the budget and bill priorities you want them to support as related to housing and homelessness. Individual meetings also give you the change to learn more about what issues they feel strongly about (positively or negatively).

Would you be interested in making an appointment to meet with your state legislator(s)?

Yes

Please check below if...

You need help in setting up an appointment with your state legislators

You do not have access to your own email account

If you are already planning on meeting with your state legislator(s) or will set up your own appointments, please indicate the legislators' names below.

Thank you for your interest! We hope to see you on March 5th!

For more information, please contact Kelly Turley at kelly@mahomeless.org or 781-595-7570 x17.

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