<p> AOTA Capitol Hill Day September 30, 2013 Congressional Appointment Confirmation Form</p><p>Please list the appointments you have made for Capitol Hill Day. If more than one person is meeting with the Legislator/Staff, please list all those who are attending the meeting(s), if you have that information. Use as many pages as you need. Return form to: [email protected], fax 301-652-7711, or mail Darlene Dennis, AOTA, PO Box 31220, Bethesda, MD 20824-1220. Call if you have questions or need help: 1-800-SAY-AOTA ext. 2014. This information will help us as we prepare materials and to help coordinate meetings with the same offices.</p><p>Attendee Name(s): ______</p><p>(attach another page if needed) ------</p><p>Legislator Name: ______</p><p>Staff Name: ______</p><p>Confirmed Appointment Time: ______</p><p>Meeting Location: ______</p><p>Legislator: ______</p><p>Staff: ______</p><p>Confirmed Appointment Time: ______</p><p>Meeting Location: ______</p><p>Legislator: ______</p><p>Staff: ______</p><p>Confirmed Appointment Time: ______</p><p>Meeting Location: ______</p>