CONTACT INFORMATION Name of Organization (If Applicable) First Name MI Last Name Address Address 2 City State Zip Phone (Mobile) Office Phone Contact Email TOPIC & ATTENDEES Event / Meeting Topic or Purpose Bill Number (if applicable) Position Support Oppose None What Committee Does This Request Fall Under (If Applicable) Issue to be discussed List names of all attendees If the Senator is unavailable to attend an event or meeting, are you interested in having his staff attend instead? Yes No DATE/TIME & LOCATION Date Time Select Location Santa Clara County Santa Cruz County Monterey County San Luis Obispo County Other If other please enter location If this is an event, are you asking that Senator Laird have a speaking role? Yes No Upload Event Agenda / Meeting Materials One file only.200 MB limit.Allowed types: pdf, doc, docx. Leave this field blank