Scheduling Request Form

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Scheduling Request Form

To schedule a meeting with Rep. Rob Wittman or to invite him to an event in your community we ask that you submit your request in writing. Due to the high volume of incoming scheduling requests we ask that you give the scheduler 5 days to contact you after submitting your request.
*Required information
*Prefix:
*First Name:
MI:
*Last Name:
Suffix:(Jr., Sr.)
*Address:
*City:
*State:
*Zip:	-
*Phone:
*E-Mail:
*Day-of Contact Number (Cell phone or other means to contact you on the day of the event):
Organization:
*Dates Available:
*Time(Please indicate what time would work best for you, as well as other possible meeting times):
Meeting Agenda:
Event:
Length/Topic of Speech (if Requested:
Dress:
Are tickets required for the event?:
Specific legislation you would like to discuss:
*Location:
*Attendees:
*Purpose of Meeting(Please give a detailed description of the issues you would like to discuss during your meeting):

Contact: E-mail Congressman Wittman

Yorktown Office
4904-B G. Washington Mem. Hwy • Yorktown, VA 23692 • Phone: (757) 874-6687 • Fax: (757) 874-7164 • View Google Directions
Fredericksburg Office
3504 Plank Road, Suite 203 • Fredericksburg, VA 22407 • Phone: (540) 548-1086 • Fax: (540) 548-1658 • View Google Directions
Tappahannock Office
508 Church Lane • Tappahannock, VA 22560 • Phone: (804) 443-0668 • Fax: (804) 443-0671 • View Google Directions
Washington D.C. Office
1318 Longworth House Office Building • Washington, DC 20515 • Phone: (202) 225-4261 • Fax: (202) 225-4382 • View Google Directions

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