Tell Us About Your 2021 Voting Record Delivery

Thank you for building your relationship with your Member(s) of Congress by delivering the 2021 Voting Record to their office or staff. Please complete this form once for each visit or drop-off. The information that you provide will help inform NETWORK’s future advocacy efforts.

Thanks again!
-The NETWORK Grassroots Mobilization Team

Name*
Prefix First Last Suffix
Email*
Which Member's office did you meet with?*
Who from the office did you meet with? Please include their name(s) and title(s) if possible.
How/where did you deliver the voting record?*
- Virtual Meeting
- Email
- In-person drop off
Did anyone accompany you on your lobby visit? If so, please list their first and last name(s).
How did your lobby visit go? Please include your notes or summary here.
Do you need NETWORK’s help answering any questions raised at the visit? If so, what were the questions?
Is there anything else you want us to know?