LEGISLATIVE DAY~MARCH 9, 2010

 

                    REGISTRATION FORM

 

       PLEASE RESPOND NO LATER THAN FEB 5th TO OMCE

 

 

Name:                                                                                     Agency: _____________________

 

Home Phone: (   )                                                                  Work Phone: (   )_______________

 

Home E-Mail: _____________________                        Work E-Mail: __________________

 

Home Address:                                                         Your Legislators:

                                                                                                ____________________________

 

____________________________________               ____________________________

 

OMCE will coordinate all appointments to avoid duplicate visits to legislators.

 

If you want to meet with specific legislators, please indicate: _________________________

 

_______________________________________________________________________

 

Text Box:    

 

 

Other legislators that you know:_________________________________________

 

I plan to come to Albany.                                                      Yes _____       No _____

 

I prefer to visit the legislator’s district office.                      Yes _____       No _____

 

Will you visit legislators assigned?                                                 Yes                   No            

 

Prefer to go with another member?                                                Yes                   No            

 

Arrival Date and Time                                                      Departure Date and Time ______

 

No Reserved Parking Available

 

Need Hotel Accommodations?   Yes               No              Double             Single            

 

                       Smoking _____       Non-smoking _____

 

 

    ~Please call us @ 1-800-828-OMCE or (518) 456-5241 with the above requested information~

                                        or E-Mail to nysomce@gmail.com

 

    To mail: Fold, tape shut and send to: OMCE, 3 Washington Square, Albany, NY 12205-5523

 

Legislative Day/Registration Form