2019 Texas "Day on the Hill" Visits: ASA National Conference
Are you attending the Autism Society of America's conference in Bethesda, Maryland?  The last day of the conference, Thursday July 11th, will be dedicated to advocacy as we make visits with our Texas U.S. Senators & Representatives on Capitol Hill in Washington D.C. (a short distance from Bethesda). If you plan to attend and make legislative visits, please fill out this form so we can coordinate the Texas attendees! We do not need your Senate information (we all have Senator Cruz & Cornyn), just need your representative's name and district number. This information will not be shared but will be used by us to help coordinate appointments. If you have questions or issues, please contact Jacquie Benestante at jacquie@texasautismsociety.org We will contact you by 6/17 with information regarding legislative visits!
Thank you!
First Name
Your answer
Last Name
Your answer
Email Address
Your answer
Phone Number
Your answer
Do you reside in Texas?
What United States Congressional District number are you in? Find out here: http://www.fyi.legis.state.tx.us/Home.aspx Choose "Congressional" from the dropdown menu, then enter the District number below. Congressional District number:
Your answer
What is the name of your United States Representative? Find out here: http://www.fyi.legis.state.tx.us/Home.aspx Choose "Congressional" from the dropdown menu then enter the name of your representative below. Congressperson's name:
Your answer
If we provide information on who to call/email, can you help us plan legislative visits? (We will have a shared list so we don't have multiple visits with the same legislators!). Jacquie will email you by 6/17 with information.
Submit
Never submit passwords through Google Forms.
This form was created inside of Autism Society of Greater Austin. Report Abuse - Terms of Service