To schedule a meeting with Rep. Jim Costa 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. To schedule a meeting with Rep. Costa in California please request in writing here. * marks required fields of data. Activity Details Type of Request: * - Select -Appearance (non-speaking)Meeting RequestSpeaking Request Date of Engagement: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202020212022 Number of Attendees: * Topic of Engagement: * Details: * Your Information Prefix: * - Select -Ms.Miss.Mrs.Mx.Mr.Mr. and Mrs.Rev.Dr.The HonorableRabbiPrefer to not identifyNoneOther Please specify: First Name: * MI: Last Name: * Suffix: - None -2nd3rd4thIIIIIIVJr.Sr.M.D.PH.D.and Family Your Organization Organization: * Your Title: * Organization’s Website: * Your Contact Information Street Address: * Street Address Continued: City: * State: * Zip Code: * +4 Extension: Email: * Telephone Phone Number * Phone Type: Standard voice telephoneVideophone [VP]Text-telephone device [TTD] What are these options? Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option "Voice" is a standard audible telephone. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
