Official Meeting Request Form

Please complete all of the required fields below, and someone from our District Team will be in touch.

Virtual or In Person? (Please Note: My staff may join the meeting. Additionally, due to potential overlapping meetings or last-minute changes, a slight delay may occur.) *

Individual Name *

Organization Name

Organization Description

Type of Request *

Is this a request to attend an event? *

Topic of Discussion/Specific Legislative Priorities (Bill number) *

Number of Attendees *

List of Attendees *

Preferred Day of the Week *

Preferred Time *

Name, Phone, Email of Contact for Day of Meeting *