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
Sign in to Google to save your progress. Learn more
Your Name *
MP/Senator's Name *
MP/Senator's Political Party *
MP/Senator's Role *
MP/Senator's Special Parliament Roles
Eg. Member of Committee on Environment, Vice-Chair of Standing Committee on Agriculture, etc
Date/Time Of Meeting *
MM
/
DD
/
YYYY
Time
:
Location Of Meeting (Address) *
Staff Contact Info *
Include Name, Phone Number, Email Address
MP/Senator's Province/Territory *
Constituents
Meeting Scheduled By *
Meeting With *
(MP/Senator or their assistant. Mention the person's name)
Also Wants To Attend
Is MP/Senator attending reception on May 13? *
Have You Completed The MP/Senator's Bio? *
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.
2 Min Video - How to upload files on Google Drive & share through link
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms