NAME:
PHONE: EMAIL:
I WILL ATTEND __________ NUMBER ATTENDING __________
I WILL NOT ATTEND ___________
Do you have a question that you would like asked of your elected officials (Representative or Senator or Mayor)? If yes, please write your question below:
Please specify below any accommodations that you may need. We will do our best to meet all
requests. Communications accommodation requests
must be received by April 27, 2007.
If you need directions to the Salem Waterfront Hotel and Suites please call the Center, or call the Hotel directly at (978) 740-8788.
Please return to ILCNSCA by April 27, 2007.
ILCNSCA
Attn: Shawn McDuff
27 Congress St., Suite 107 Salem, MA 01970
(978) 741-0077 v (978)745-1735 tty (978) 741-1133 fax
E-mail: Information@ilcnsca.org