*indicates information that you need to provide. Meeting Details Preferred Date: Time: (starting) Alternate Date: Time: (starting) Location of Meeting: In GeorgiaIn Washington DC or elsewhere Number of Attendees: Subject of Meeting: Details and available dates: (including any specific bill numbers) Will anyone from the 2nd District or Georgia be attending this meeting? Yes No If so, list: Telephone Telephone Number: Voice VP TTD Alternate Phone Number: Voice VP TTD What are these options?This is to help the constituents that are hard of hearing or use a video phone alert us to that fact so we can use the proper technology when we need to call them. The default option “Voice” is a normal audible telephone. Your Information Prefix: First Name: MI: Last Name: Suffix: Organization: Street Address: Street Address Continued: City: State: Zip Code: Email: Related Items: Help with a Federal Agency