Request a Meeting - Washington | Congresswoman Betty McCollum

Complete and submit this form to request Congresswoman McCollum’s appearance at a meeting, speaking function, or a non-speaking function. Due to the Member’s schedule, not all requests will be filled. If you have questions, please contact my DC office at 202-225-6631.

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Meeting Details

Meeting Request for:

Meeting Type:

Number of Attendees:

Meeting Duration:

Subject of Meeting:

Details:

Available Dates:

Available Time:

Telephone

Phone Number

Phone Type:

Point of Contact Phone Number:

Point of Contact Name:

Point of Contact Phone Type:

What are these options?

Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option 'Voice' is a standard audible telephone.

Your Information

Prefix:

First Name:

MI:

Last Name:

Suffix:

Organization:

Address

Address 2

City

State

ZIP Code

Email:

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