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Senator Julian Cyr Scheduling Request Form
Submit a request to meet Senator Cyr or a member of staff
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Location of Request
*
Virtual Meeting/Phone Call
Cape Cod
Martha's Vineyard
Nantucket
Boston
Other:
Request of Senator Cyr/Type of Event
*
Event
Speech/Remarks
Meeting
Preferred Date and Time of Meeting/Event
*
Please indicate if there is a deadline.
Your answer
Preferred Location of Meeting (Venue, Address, City)
*
Your answer
Brief Description of Event/Purpose of Meeting
*
Your answer
Requester contact information (Please include name, phone, and email)
*
Your answer
Requester Organization (if applicable)
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Additional Notes?
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