Liaison Report NETAR Member Name* First Last Cell Phone*Your Email Address* Representative/Senator Name:*Date of Contact* MM slash DD slash YYYY How did you connect with your Representative/Senator?*Feedback on Contact/Meeting (How did it go?):*What did you discuss (Please be as detailed as possible):*Is there any action or follow up need (If yes, please be detailed):*Include any relevant documents Drop files here or Select files Max. file size: 300 MB. Signature* Δ