FLAA Hearing Technology Day Talking Teams
Thank you for joining FLAA in Tallahassee on March 6 to spread awareness in the capitol about hearing health and hearing aid access legislation. Please complete this form to help us customize visit lists and prepare for your visit.
Name *
Your answer
Please check all that apply *
Required
Home Address *
Your answer
Secondary Address (For students or others who are from another part of Florida, this will help us connect with the home districts of more legislators.)
Your answer
Do you have any connections with current legislators that would be helpful for us to know?
Your answer
Are you willing to participate in a training call to lead a talking team on the 6th? *
Best contact method and info (text - include phone number; email - include email address) *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service