Meeting Requests

Complete the form below to request a meeting with Rep. Gluesenkamp Perez or a member of her team, or an appearance at an event. Due to the Congresswoman’s schedule, not all requests can be filled.

1 of 2

What are details of this event?

These will help us coordinate your request with the Member's schedule.

Type of Request

Location of Event

Date of Request

Number of Attendees

Point of Contact Number

Details

0 / 2000

Would you like the Member to attend?

Yes

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How can we best contact you?

This will help us reach out with a reply.

Title

First Name

Last Name

Organization

Organization's Website

Address 1

Address 2(optional)

City

State

Zip

Phone(optional)

Phone Type(optional)

Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option 'Voice' is a standard audible telephone.

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Other than what is requested above, please do not submit any personally identifiable information.

We’ve received your request.

You’ll get an answer very soon. In the meantime, follow me on social media for updates on my work for you and the people of our district.