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In-District Meeting Information Form
Please tell us about the meetings you are planning with your members of Congress. Thank you for telling Congress that Moms Demand Action on this important issue.
Name
*
First
Last
Email
*
Chapter Name
*
Name of the Congress member you are meeting with
*
Date of the meeting
*
Scheduled Start Time of Meeting
*
:
HH
MM
AM
PM
What is the location of your meeting?
*
Is your meeting with the Congress member or staff person?
*
Congress member
Staff person
Appointments with staffers are just as valuable as appointments with your representatives.
Please add any other details you'd like to provide
(optional)
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