EmailMeForm
Lobby Day 2016 Registraion
Welcome to the NCADV lobby day registration form! We look forward to you joining us on September 22 to advocate for legislative change! Although we cannot make any guarantees, we will try to schedule you to meet with at least one of your Members of Congress, so please include your full address (no PO boxes, please!). Each participant must register separately. Thank you!
Name
*
First
Last
Organization (if applicable)
Address (no PO boxes, please!)
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Email
*
Representative (if known)
If you are attending with a group, who else is in your group? NOTE: each attendee must register separately!
In addition to participating, are you interested in volunteering for this event?
Yes
Have you lobbied before, either with NCADV or another organization?
Yes
No