Please enter your name, zip code and email address:

    If you checked "Yes" on any of the boxes below, then make sure you have the appropriate
            documentation that corresponds to that action as follows:

    Email: Print and save a copy of the following:
        Completed email form before it is sent to the Congressional Member(s)
        The automated response to your email
        The official response from the Congressional Member(s), which should be received within a few days.

    Certified Letter:
        Keep a copy of the postal records showing the "Certification" and the "Return Receipt" documentation
           to the Congressional Member(s)
        Copy of your signed letter
        Copy of the documentation showing your letter was received
        Copy of the response(s) from the Congressional Member(s)

   Phone or Fax::
        If you Faxed your message, then keep a copy of the transmission confirmation
        If you Phoned in your message, then keep a copy of the your phone records that show the call

    Please enter the Congressional Names and check the boxes relating to your communication:

    Name of your first US Senator:

    Did you email this US Senator? Yes No

    Did you send a Certified Letter to this US Senator? Yes No

    Did you phone or faxed this US Senator? Yes No

    Name of your second US Senator:

    Did you email this US Senator? Yes No

    Did you send a Certified Letter to this US Senator? Yes No

    Did you Phone or Faxed this US Senator? Yes No

    Name of your US House Representative:

    Did you email your US House Representative? Yes No

    Please click the "Submit" button after completing this form: