Dairy Day at the Capitol registration form for all lawmakers and staff
Virtual meeting, April 14, 2021
Type of registration
Representative
Senator
Staff
Name
First Name
Last Name
If staff, lawmaker you are representing
If staff, what is your email address?
District Number
Email
example@example.com
Office Phone Number
Please enter a valid phone number.
Questions?
Contact Chad Zuleger at czuleger@dairyforward.com or (608) 345-6906
Submit
Should be Empty: