Advocacy Activity Report
Capture the following information from every interaction with your elected official. Complete this form and we will add you to our list of supporters!
Email address *
Name *
Your answer
State *
Your answer
Date of Meeting or Phone Call *
MM
/
DD
/
YYYY
Member of Congress *
Your answer
Specific Issues Discussed
Your answer
Any feedback received from the member of Congress or his/her staff member:
Your answer
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