Please join CMEP's
advocacy and grassroots
projects for Middle East peace

Grassroots Advocacy Report Form
(please fill out the form below and hit "submit form" at the bottom of the page)

Information on the Member of Congress and/or Legislative Aide:

Congress Member's Name

Legislative Aide's Name

Senator      Representative

Party of Congress Member

State

District of Representative

Religious Affiliation of Congress Member


Information on Meeting

Lobby Report Writer's Name

Address

Telephone

E-mail

Other Advocates Attending Meeting

Date of Meeting
   

Location of Meeting

Length of Meeting

Did Congress Member Participate in the Meeting?
Yes      No

The following boxes will expand as you type if additional space is needed.

Meeting Topics

Summary of Meeting Content

General Observations
(climate, bias, knowledge base, information about member, staff, or district)

Printed Materials You Provided

Follow-up