OutServe-SLDN | In-District Meeting Report

Email:*

First Name:*

Last Name:*

Zip/Postal Code:*

Phone:

Member of Congress' Name:*

I met/spoke with the Member of Congress:*

I met/spoke with the following staff:

1. Does the Member support repeal of Dont Ask, Dont Tell?:*

2. If not, list key reasons::

3. Would the Member consider signing on as a co-sponsor of H.R. 1283/Senate companion bill?:*

4. If the member will not co-sponsor H.R. 1283, will the member vote to repeal Don't Ask, Don't Tell?:*

5. If no to 3 or 4, list key reasons plus any additional comments::

In general, your visit was:*

Any other notes, feelings, impressions on the visit with this office::

* denotes required field