You must have JavaScript enabled to use this form. Name of Organization First Name Last Name Address City State Zip Phone Email MEETING TOPIC & ATTENDEES Topic/Purpose of Meeting If this meeting is about current legislation please provide the Bill #, author and current location of the bill (if you have that information) Issue to be Discussed-include position represented by attendees Attendees (Name, title, whom they represent) DATE/TIME & LOCATION Date/Time Date/Time: Date Date/Time: Time Preferred Location of Meeting Capitol Office District Office Other Location Description Other Location Location Address City