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Federal Board Member Action Day Registration Form

Thank you for your interest in registering for Federal Board Member Action Day on Wednesday, March 19, 2014.

Registration is required for participation. Please take a moment to provide us with the information necessary to schedule appointments with your federal Representative. The online registration deadline is Monday, March 17 at 5 p.m.

It is extremely important that we have accurate counts on meeting attendees. If you need to cancel any or all of your registration commitments, please contact CSBA Governmental Relations staff via email or phone at (800) 266-3382.

First name:

Last name:

School district:

Home address:

City, state:

Home zip code:

* **

Cell phone:

* **

Day time phone:

* **

Email address:

* **

Please schedule a meeting w/my Representative (name):

Meeting Location (district office address):

Yes, I will be attending the live webinar on Friday, March 14 at 10:00 a.m.

If you are unable to attend a meeting on March 19, but would still like to participate, please choose an alternate method of participation.

I will send a letter to my federal representative.

I will send an email to my federal representative.

I will call my federal representative.

All field are required.

Click here to look up your local Representative.