MAZON Lobby Visit Report Form
Use this form to track the details of your visit with your Member of Congress or their staff.  
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Email *
Your Name *
Meeting Date *
MM
/
DD
/
YYYY
Meeting Location *
Chamber
Legislator *
State *
District *
Names of Member Staff At Meeting *
Names of MAZON Staff At Meeting *
Names of Partner Staff At Meeting *
Issues raised (check all that apply and note any specific points discussed) *
Required
What was the general response/attitude from the legislator and/or staffer(s)? Knowledgeable? Responsive?
Key takeaways from visit - How did the legislator and/or staffer(s) respond to you? Did you glean any insight into issues his/her priorities? Concerns? Opportunities? Potential barriers? How can MAZON best cultivate the relationship?
Was there any follow-up requested by the legislator and/or staffer(s)?
What is your recommended follow up (not necessarily requested by the legislator and/or staffer(s))?
Other comments / helpful facts / relationships / info about the legislator or staff
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