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Scheduling Request Form
If you're seeking a meeting with Assembly Member Harvey Epstein please fill out this form. As you may know the Assembly Member receives many requests so we thank you for your patience.
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Email
*
Your email
Organization (if applicable)
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Your answer
Contact person - Phone number
*
Your answer
What is the purpose of the meeting?
If this meeting is regarding a bill, please state if the AM is a co-sponsor or not.
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Your answer
When would you like to meet? If you are unsure of the exact date please use approximate
date.
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/
DD
Where would this meeting take place (in person or virtual? NYC or Albany)
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Your answer
Who would be attending the meeting?
*
Your answer
Anything else you'd like the office to know about this request?
Your answer
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