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Meeting Request
Name of Organization:
First Name:
*
Last Name:
*
Address:
City:
State:
Zip:
Phone:
*
Email Address:
*
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):
Attendees (Name, title, whom they represent)
*
Date/Time & Location
Date
*
Year
Year
2021
2022
2023
2024
2025
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
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31
Time
*
Hour
Hour
1
2
3
4
5
6
7
8
9
10
11
12
:
Minute
Minute
00
01
02
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10
11
12
13
14
15
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19
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50
51
52
53
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55
56
57
58
59
am
pm
Preferred Location of Meeting
*
Capitol Office
Other Location
Description of Other Location
Location Address
City
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