Scheduling Form

Address
Do you want to discuss a bill?
Due to the high volume of scheduling request – If the Assemblywoman is unavailable to meet, are you willing to meet with staff?
Will there be constituents in this meeting?
Have you communicated with the 39th Assembly District Office on the issue prior to this request?
Is this a LIVE conversation?
Will you be providing background information and talking points at least 5 business days prior to your event?
Before any use of the Assemblywoman’s name, photo, or likeliness for an event, please obtain authorization from my Office by email before use.
Are you requesting a pre-recorded video?
One file only.
200 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Before any use of the Assemblywoman’s name, photo, or likeliness for an event, please obtain authorization from my Office by email before use.
Are you looking for a quote?
Is this a Live interview?
Is this a Pre-recorded interview?
Before any use of the Assemblywoman’s name, photo, or likeliness for an event, please obtain authorization from my Office by email before use.