RESULTS First 100 Days Lobby Meetings/Town Halls
This form is for meetings that have not occurred yet. PLEASE FILL IN INFORMATION FOR ONLY ONE MEETING AT A TIME!

Once you've completed your meeting, please tell us how it went by filling out the RESULTS Lobby Report Form: www.tinyurl.com/RESLRF.

If you have questions, contact Lisa Marchal at lmarchal@results.org for global poverty meetings, Jos Linn at jlinn@results.org for U.S. poverty meetings, or Leah Salama at lsalama@results.org for REAL Change Midyear Training meetings.

What is your name?
Your answer
What is your e-mail address?
Your answer
What is your RESULTS group name?
Your answer
What is your state?
Who is your Regional Coordinator?
3/6/17
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1:30 PM
Time
:
What is the name of the member of Congress with whom you are planning to meet?
Who will be in the meeting?
Who are the key aides you will meet with? Please indicate their title, e.g. foreign policy aide, tax aide, etc.
Your answer
What issue areas do you plan to cover in this meeting?
Is this meeting part of the REAL Change Midyear Training?
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