Your name:
Your E-mail address:
Your Phone number:
Name of legislator and State represented (example: Rep. Christopher Van Hollen - Maryland):
Name/names and contact information of ACB Participant(s). Include phone # and email address.
ACB Affiliate (if applicable):
Name of the congressional staff person you visited:
3. Did the member/staff person express any opinions or ask any questions about the issue? Please specify.
5. Does member/staffer need or want further info? What info does he/she want or need?
7. Any significant intelligence: e.g. We're going to move that issue this year. We will definitely support this issue. I, my boss is opposed to ....
8. Additional information such as comments about blindness, or questions about other issues?
Return to legislative seminar packet.
Return to ACB home page.