Please fill out this form for EACH meeting you have scheduled with a member of Congress. Once you submit your first form, you can return to https://www.surveymonkey.com/r/lobbyweek24 to submit additional visit(s) information.

After your visit, please submit the results using this survey.

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* 1. Your Name

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* 2. Phone Number

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* 3. Email Address

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* 4. AFP Chapter

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* 5. Congressional Office You’re Visiting: (including member of Congress’ name, state and district number if applicable)

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* 6. Meeting Date

Date

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* 7. Are You Meeting With (check all that apply)

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* 8. If Staff, please provide the name and title

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* 9. How many chapter members are attending?

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* 10. Please list on separate lines the name and email address (if available) of each chapter member planning to attend

If you have any questions about the form, please email paffairs@afpglobal.org.

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