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Scheduling Webform
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To schedule a meeting with Rep. Jim Costa or to invite him to an event in your community we ask that you submit your request in writing. Due to the high volume of incoming scheduling requests we ask that you give the scheduler 5 days to contact you after submitting your request.
*Required information
*Full Name
*Address:
*City:
*State:
*Zip:
-
*Phone:
*E-Mail:
*Day-of Contact Number (Cell phone or other means to contact you on the day of the event):
*Organization:
*Date(Please indicate if you have more than one date available):
*Time(Please indicate what time would work best for you, as well as other possible meeting times):
*Location:
Please Choose
Fresno
Bakersfield
Washington, DC
*Attendees:
*Purpose of Meeting(Please give a detailed description of the issues you would like to discuss during your meeting):
