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1
Date of Visit
 
2
Your Name
 
3
Your Organization
 
4
Legislator Visited
 
5
Legislator's Staff you met with
 
6
Visit took place in
 District Office    Sacramento Office   
7
Topic of Discussion
 
8
Results
 Legislator is in strong agreement with our position
 Legislator is in agreement with our position, but is making no promises
 Legislator/staff needs more information on this issue
 Legislator is opposed to our issue but may change
 Staff is not certain of Legislator's position
 Other
9
If you marked other or needs more information, please explain
10
Follow-up recommended
 Staff/Legislator need more information (District Office)
 Staff/Legislator needs more information (Capitol Office)
 Need District follow-up visit
 Need Capitol Office follow-up visit
 No follow-up needed
 Other
11
If you marked "Other" please explain

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