Schedule a Meeting with Rep. Kam Buckner
Do you have an idea, concern, or issue that you would like to discuss with Rep. Buckner or his staff? Please fill out the link below. Your viewpoint is important to the Office of State Kam Buckner. Keeping the Representative informed of your concerns helped to better represent the 26th District is important to us.

After filling out this form someone from the Office of State Representative Kam Buckner will get back to you within 48 business hours.

 Thank you for being civically involved and caring about our communities. If you have any other questions or concerns please feel free to email us dulana@illinois26.com.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Phone Number
Contact method
Clear selection
Organization You Represent *
Please provide three dates and times that work best for you or your organization: *
What Issue, House Bill, or Senate Bill are you concerned about? *
Are you in support or oppose this legislation?
Clear selection
Other information that you can provide about this meeting? *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Kam Buckner For Illinois State Representative. Report Abuse