ABA Bank Visit Form

Please use this form below if you have completed a Bank Visit, Washington Visit, Town Hall Meeting, State Association Visit, Fly-in, or a Fundraiser with a Member of Congress since June 1, 2014. If you have had multiple events with your Member(s) of Congress please submit a separate form for each event. Please complete the form in its entirety or with as much information as possible to receive credit. Upload photos of your event and you could be featured on www.aba.com/grassroots!

If you have any questions, please e-mail us at speakup@aba.com.

Name

First Name

Last Name

Bank Name

Email Address

State Abbreviation

Date Event Occurred

Length of Visit

Senator/Representative Name

Staffer Name

Additional Attendees (include employee & community leaders)

What (if any) commitments did the Member make?

Was this a Bank Visit, Washington Visit, Town Hall or State Association Meeting?

Bank Visit Washington Visit State Association Meeting

Other:

Please tell us what transpired during the visit:

What important legislative issues did you discuss with your Member(s) of Congress?

What follow-up was requested by the Member?

How can ABA or your State Bankers Association assist?

Do you have any photos of this event?

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