Office of Congressmember Karen Bass Meeting and Event Requests Form
If you would like to invite Congressmember Karen Bass to an event or request a meeting, please answer the following questions. A member of her staff will follow up with with you regarding the status of your request one to two weeks before your requested meeting or event date. To follow up about the status or to update your request, please email bass.scheduler@mail.house.gov 
Sign in to Google to save your progress. Learn more
Contact name, title and contact organization: *
Contact phone number: *
Contact email: *
Website:
Day of contact if different from above
please provide name and cell phone number.
Would you like to schedule a meeting or invite Congressmember Karen Bass to an event? *
Please provide the name of the organization: *
Please provide the location: *
For events, receptions, press conferences, or other type of meeting, please select "Other" and enter the full address.
Date of Event or Meeting: *
MM
/
DD
/
YYYY
Please enter the time of event/time available for to meet *
Example: 5-7pm, or 3pm, or not specified
Please provide EVENT or MEETING details. *
Please provide background information about your organization and additional information.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report