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FEEDBACK FORM
Warehouse Visit Feedback Form
*Visit Date
*Company Name
*
*City
*
*State
ALASKA
ALABAMA
ARKANSAS
ARIZONA
CALIFORNIA
COLORADO
CONNECTICUT
DISTRICT OF COLUMBIA
DELAWARE
FLORIDA
GEORGIA
HAWAII
IOWA
IDAHO
ILLINOIS
INDIANA
KANSAS
KENTUCKY
LOUISIANA
MASSACHUSETTS
MARYLAND
MAINE
MICHIGAN
MINNESOTA
MISSOURI
MISSISSIPPI
MONTANA
NORTH CAROLINA
NORTH DAKOTA
NEBRASKA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEVADA
NEW YORK
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VIRGINIA
VERMONT
WASHINGTON
WISCONSIN
WEST VIRGINIA
WYOMING
*Your Name
*
*Phone
*
*Email
*
1. What was the name of the legislator(s) who attended your warehouse visit?
Search for Legislator(s) by State and Chamber Type:
Office:
Federal House
Federal Senate
State:
ALASKA
ALABAMA
ARKANSAS
ARIZONA
CALIFORNIA
COLORADO
CONNECTICUT
DISTRICT OF COLUMBIA
DELAWARE
FLORIDA
GEORGIA
HAWAII
IOWA
IDAHO
ILLINOIS
INDIANA
KANSAS
KENTUCKY
LOUISIANA
MASSACHUSETTS
MARYLAND
MAINE
MICHIGAN
MINNESOTA
MISSOURI
MISSISSIPPI
MONTANA
NORTH CAROLINA
NORTH DAKOTA
NEBRASKA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEVADA
NEW YORK
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VIRGINIA
VERMONT
WASHINGTON
WISCONSIN
WEST VIRGINIA
WYOMING
Selected Legislators:
Search Result:
What was the purpose of the visit?
What did the visit include?(e.g. discussion with employees, warehouse tour)
What topics were discussed?
Provide any feedback of note from the member of Congress:
Did you provide a tasting at the end of the tour?
Yes
No
If so, please describe:
Please provide a quote from the President/CEO or other company representative about the value of the tour:
Please provide any other information that would better describe the visit, or put it in context:
Do you feel that your relationship with the legislator has been strengthened because of this warehouse tour?
Please indicate your relationship by selecting one of the following:
No change
Casual Relationship (Grassroots Contact)
Close Relationship (Key Contact)
Did you take any pictures?
Yes
No
If yes, please upload your photo(s):
feedbackform