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Schedule Request Form

Thank you for requesting a meeting with Congresswoman Mazie K. Hirono. To expedite the processing of your request, please fill out this short form and submit.

The Congresswoman and her staff make every effort to meet with the constituents of Hawaii’s second district. However, there may be time constraints and scheduling changes. Your flexibility and understanding are appreciated.

Please allow at least 2 weeks for all requests. This form does not constitute a confirmation. You will be contacted directly.

Your Name:
Address :
Email address :
Daytime Phone number:

Company/Organization Requesting Meeting :

Date of requested meeting:
Approximate Time :
Location :

Purpose of the meeting including key issues to be discussed:

Name of Day of the appt. contact :

Cell phone :
Expected meeting attendees :
Names/titles of attendees and mailing addresses :

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Click on the image to learn more about the 2nd District of Hawai‘i.