Contact the UI Advocates Staff

Membership

UI Legislative Advocacy member: Please type a short report of your legislative contact.
Contact the UI Advocates Staff
* Denotes required fields.

Name:*

Street Address:*

City:*

 

State:*

 

Zip:*

 

Home Phone:

 

Business Phone:

 

E-mail:*

 

Fax Number:
(only if you don't have e-mail)

 

I am a UI graduate.

Yes No

If yes, my graduation year(s)

Type a brief report of your legislative contact:

For Security Purposes
text is herky

* You must enter text from the image above.