CCL Canada Lobby Appointment Submission Form
Please enter your email address, your name and fill out your appointment details for CCL Canada's May 2019 Conference
* Required
Email address
*
Your email
Your Name
*
Your answer
MP/Senator's Name
*
Your answer
MP/Senator's Political Party
*
Conservative
Liberal
NDP
Green
Independent
Other:
MP/Senator's Role
*
MP
Senator
Other:
MP/Senator's Special Parliament Roles
Eg. Member of Committee on Environment, Vice-Chair of Standing Committee on Agriculture, etc
Your answer
Date/Time Of Meeting
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Location Of Meeting (Address)
*
Your answer
Staff Contact Info
*
Include Name, Phone Number, Email Address
Your answer
MP/Senator's Province/Territory
*
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Constituents
Your answer
Meeting Scheduled By
*
Your answer
Meeting With
*
(MP/Senator or their assistant. Mention the person's name)
Your answer
Also Wants To Attend
Your answer
Is MP/Senator attending reception on May 13?
*
Yes
No
Have You Completed The MP/Senator's Bio?
*
Yes
No
Share MP/Senator's Bio
If you have the Bio completed already, you can either send it to
canada@citizensclimatelobby.org
or post it on Google Drive and add shareable link here. Below is a video on how to post a file on Google Drive and get the shareable link.
Your answer
2 Min Video - How to upload files on Google Drive & share through link
A copy of your responses will be emailed to the address you provided.
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