Hill Visit Appointment Form

NELA Lobby Day 2018 Hill Visit Appointment Form

Please use this form to report confirmed Lobby Day 2015 Hill Visits. (Use one form per visit.) Should you have questions or need assistance, please contact Laura M. Flegel at lflegel@nelahq.org or (202) 898-2880, ext. 115.

If the time or location of any confirmed meetings change prior to Lobby Day (April 12), please do not submit a new form. Instead, contact Pedro Valverde at pvalverde@nelahq.org or (415) 296-7629.

Thank you for reporting your scheduled Hill Visits for NELA Lobby Day 2018.

2. I am reporting a confirmed meeting with the office of: *This question is required.

Your State
Member of Congress
Office

3. If this is not the correct meeting location, please provide the correct location:

4. Appointment Time:

5. Is the Senator or Representative expected to attend the meeting? *This question is required.

6. Name of Congressional staff member who scheduled the meeting:

7. Email address of that staff member (if known): This question requires a valid email address.

8. Issues to be discussed. If selecting "Other" please specify the other issues to be discussed in the adjacent text box.

Civil Justice Tax Fairness Act
Arbitration Fairness Act
Judicial Nominations (Senate only)
Other: Please enter an 'other' value for this selection.

9. Name(s) of Lobby Day 2015 participants attending the meeting: