Key Contact Survey

Name: _______________________________________________________________________

Email: _______________________________________________________________________

Telephone Number: _____________________________________________________________

Do you personally know or have a business relationship with any elected officials, judges, or other influential people on the local, state, or federal level?  Please write their names and titles on the lines provided below.  This information is very important to any legislative battle.  Politics is “who you know.”  So who do you know?

Title Name District How You Know Them

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________