REPORT BACK

After you've talked with your reps, tell us how it went and where they stand on these issues. This helps us get an overview of where our campaign is going and make a greater impact.

Name

First Name

Last Name

Email Address

Phone

I held this visit as a(n):

Your Group or Organization Name (if applicable)

Which elected official did you contact?

How did you connect with your elected official?

Zoom

Phone call

Response to a letter that I sent

Visit to their district office

Visit to their Albany office

Date of your contact

YYYY

How many people did you bring with you to the meeting (including yourself)?

Select:

Issues that you discussed or notes