Request A Meeting

Please complete the form below to request a meeting or request a visit to a business, school or event. Due to the hectic Congressional schedule, I cannot grant all requests but will do my very best to say yes to as many as I can…!

"*" indicates required fields

Contact Information

Name*

Prefix First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

Phone Type

What are these options? Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option ‘Voice’ is a standard audible telephone.

Scheduling Request Type*

Location*

Date of Request*

Number of Attendees*

Member Attendance?*

Yes

Organization Name

Organization Website

Point of Contact Number*

Notes*