Meeting Request

Thank you for your interest in meeting with Congressman Jamie Raskin! Please complete the below form with all relevant details of your request.

Meeting Request

Note: Fields marked with an * are required.

Contact Information

First Name *

Last Name *

Email *

Phone Number *

Requesting Organization/Meeting Host Information

Requesting Organization/Meeting Host *

Requesting Organization/Meeting Host Address *

Day-of Contact – Please include a name and cell phone number

Day-of Contact First Name *

Day-of Contact Last Name *

Day-of Contact cell phone number *

Meeting Details

Available Date and Time *

Meeting Type *

Are you seeking a meeting with the Congressman, a staff member or either? *

Topics to Discuss – Please include any specific bill numbers *

Will anyone from Maryland’s 8th Congressional District be attending this meeting? *

Meeting Participants – Please list the full names, cities of residence, and/or organizational affiliation, if applicable, for all meeting participants. *

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