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Schedule Form

Congresswoman DeLauro makes it a priority to be accessible to her constituents from across the Third Congressional District.

To invite the Congresswoman to your event or to request a meeting please fill out the form below. Please include the following information:

Date, time and location of event, as well as the general nature and purpose of the event. Also helpful will be a general description of the audience and some of the issues they are interested in or would like her to address.

Please include some information about the role the Congresswoman would be playing. For example, would you like her to serve as keynote speaker? Attend a groundbreaking? Take a tour? Meet with students? Please include any other information you feel would be helpful.


First Name:*

Last Name:*

Organization:*

Street Address:*

City*, State*, Zip*

Email Address:*

Home Phone:*

Work Phone:*


Meeting Location: Connecticut

 

Requested date for appointment:

 

Requested Time:

From: To:

 

Regarding:*

 

Please include specifics regarding your request (i.e. meeting subject) as well as the times and dates of your availability if they are flexible *

 


* = Required
  This is an official Website of the U.S. House of Representatives.
 
Washington, DC
2262 Rayburn HOB
Washington, DC 20515
Phone: 202-225-3661
Fax: 202-225-4890
Main District Office
59 Elm Street
New Haven, CT 06510
Phone: 203-562-3718
Fax: 203-772-2260
Stratford Exchange
Phone: 203-378-9005
Municipal Building
Room B-20
Middletown, CT 06457
Phone: 860-344-1159
(This office is staffed
1st & 3rd Wednesday
8:30 AM-5:30 PM)
Municipal Building
229 Church Street
Mayor’s Conference Room, 4th Floor
Naugatuck, CT 06770
Phone: 203-729-0204
(This office is staffed
2nd and 4th Tuesday
8:00 AM-5:00 PM)
Valley Regional Planning Agency
12 Main Street
Conference Room
Derby, CT 06418
Phone: 203-735-5005
(This office is staffed
1st & 3rd Thursday
9:00 AM-1:00 PM)