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Submit Your Feedback from Your Congressional Meeting

After your meeting, please fill out the form below to let us know how it went. It's really important for you to provide us with this information so that we can continue to work with you to educate your Members of Congress. 

* First Name
* Last Name
* Email
Organization
Title/Position
Web Page
* Phone
* Street
* City
* State
* Zip
* With Whom Did You Meet?
* How Many People Were in Your Delegation of Constituents?
* How did the Member of Congress respond to your request for an investigation into Israel's attack on the Gaza Freedom Flotilla?
* How did the Member of Congress respond to your concerns about the resolutions in favor of Israel's attacks on the Gaza Freedom Flotilla?
* How did the Member of Congress respond to your request to introduce a resolution calling on Israel to end the blockade of Gaza?
* How did the Member of Congress respond to your request to submit amendments to condition military aid to Israel in the FY2011 budget?
Any other comments about the meeting that you'd like to share?
First Name
* Required Field