Advocacy Associates Lobby Day Registration

Step 1: Basic Information

Required field are in bold.

I am completing this form:	for myself for someone else (enter your name below)
First Name
Last Name
Title
Museum or Organization Name
E-mail *
Cell Phone **
Fax
Do you want to make Hill visits on 2/28?	Yes No Not Sure
Address Type
Address (Line 1) ***
Address (Line 2)
City
State
Zip

* Email addresses will be used to communicate critical information to Museums Advocacy Day participants leading up to the 2012 event.

** Cell phone numbers must be provided and will be used to contact you on Museums Advocacy Day only in the event that there are last minute changes to your congressional meeting schedule.

*** Please submit your home or work (preferably home) address here. Subsequent screens will allow for you to enter additional addresses.