EmailMe Form - NLC’s 2018 CAPITOL HILL ADVOCACY DAY

Name *

First Last Suffix

Organization *

Title *

Address
(NLC will only request meetings with U.S. Senators and the U.S. Representative who represent the mailing address you provide). *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Mobile Phone *

### - ### - ####

Primary Email Address *

Do you have an existing relationship with any of your Senators or Members of Congress?

Yes

No

Please describe your relationship below

Describe your relationship. *

Capitol Hill Advocacy Day meetings will be scheduled for Wednesday, March 14 any time between 8:30 a.m. and 4:30 p.m.

Do you have any time conflicts or constraints we should know about before scheduling meetings? *

Yes

No

Please provide the details of your time conflicts or constraints.

Describe you conflicts and/or constraints.

I understand that by registering to attend NLC’s Capitol Hill Advocacy Day that I will be required to attend a 30-minute prep session during the Congressional City Conference (time to be announced) to meet with advocacy team members and receive your final schedule. *

Yes