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* required information
SUMMARY OF AI MEMBER MEETING
WITH ELECTED OFFICIAL'S OFFICE 
Your contact Information
First Name:*
Last Name:*
Email:
Phone:
Meeting information
Which elected official's office did you meet?:
Whom did you meet in the office? (Include their full name and titles):
Date of the meeting?:(mm/dd/yyyy)
Who was part of the Amnesty International delegation?:
Which topics did you raise?:
What follow-up do you plan to do?:
Do you need the AIUSA Washington office to answer additional questions or to provide additional information?:
        

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