Volunteer Lobbyist Registry Online Application

 
 

Lobbyist Information

Complete this section with information about who undertook lobbying activities.

Full Name:*
Business Name:*
Business Address:*
Phone Number:*
XXX-XXX-XXXX
Email Address:*
Confirm Email Address:*
A copy of the message will be sent to this email address.
 

Lobbyist Client (if applicable)

Complete this section with information about the person / business for whom lobbying was being done.

Business Name:
Business Owner:
Business Address:
Phone Number:
XXX-XXX-XXXX
Email Address:
Confirm Email Address:
A copy of the message will be sent to this email address.
 

Person Lobbied, Type of Lobbying and Subject Matter

Complete this section with information on who was lobbied, when lobbying occurred, etc.

Person Lobbied:*
Ward (if applicable):
Date of Lobbying:*
Subject Matter of Lobbying:*
Intended Outcome:*
   
  
   

Verification Code *

 

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