Legislative Action Team Join

Team Member Info

1. Yes! I want to join NELA's Legislative Action Team.

First Name

Last Name

Email Address

Please enter your home address, including zip code. This information will only be used to confirm your Congressional Representative, which is critical to the success of NELA's Legislative & Public Policy Program. Your personal information will be kept confidential and will not be used for any other purpose. Please remember to enter your home address, not your business address.

2. Home Address

Address

Apt/Suite/Office

City

State

Zip

3. Who is your Representative? If you do not know, you can find out on www.house.gov.

4. I am a (check all that apply)

NELA Member
NELA Affiliate Member
Other Please enter an 'other' value for this selection.

5. Are you interested in becoming a Legislative Action Team Captain?

Yes!
Possibly, tell me more.
Not at this time.

6. Do you have a connection with a member of Congress or experience lobbying? Please share this information with us.