By letting us know which meetings you have, ANCOR staff will be able to get a sense of which offices were visited during the Hill Day and which ones will need follow up. Remember, those who fill out this form get entered in a raffle to win a prize!

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* 1. Name, organization and state:

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* 2. Please list all meetings you have scheduled to date. Write the name of the office, the time of the meeting, and if meeting with staff, their name and title. If you are filling this out after a meeting, please let us know in a few sentences how it went.

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