Political Outreach

Political Outreach Report Form

Please fill out this form after you meet with a member of Congress. Thank you.

*Your Name :**
*Your E-mail Address :**
*Mars Society Chapter :**
*Legislator's Name :**
Legislator's Office:
*State :**
*Outreach Date :**	,
*Type of Outreach :**
If a meeting occured, where:
Was the legislator present?
Was an aide present?
Aide's Name:	(if present at meeting)
Members Present:
*Report/Summary :**