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National Retiree Legislative Network Grassroots Activity Log

Instructions: Please provide the NRLN with reports of your contacts with your U.S. Representative, U.S. Senators and/or members of their staffs. The information you provide will be useful to NRLN leaders and the NRLN's Washington, DC team. It can be used as the basis of follow contacts on Capitol Hill.

Enter your report by filling in the appropriate information below. Provide your name, phone number and email address. Note the name of the Senator, Representative or staff member you contacted. Indicate whether the contact was a Phone Call; Drop Off of Information; Face-to-Face Discussion, or Town Hall Meeting.

It is important to include your State and Congressional District. Note 'Yes or No' whether you provided the NRLN's TOP PRIORITIES LIST. Note the Code # of the NRLN's Top Priorities that was the main topic of your contact. Click here to view the Code Sheet.

Your evaluation of whether the contact was Positive, Neutral or Negative is important. If the person you met with commits to Sponsor or Co-Sponsor legislation on the topic discussed note that, as it is critical for follow-up action by the NRLN.

Please make as many reports as needed to cover your activities. Thank you for being an active NRLN Grassroots Network member.

If you have a question about the Activity Log or have more information to report than what the Activity Log accommodates, please send an email to nrlnmessage@msn.com .

GRASSROOTS ACTIVITY LOG FORM

Grassroots Member Information
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Information about Person Visited
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Description of Activity
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