The Sjögren's Syndrome Foundation encourages you to join our advocacy effort. We offer an opportunity for concerned individuals to unite as one voice and help shape public policy as it relates to life with Sjögren's syndrome. You can spend as much (or as little) time as you choose in this effort. By joining the SSF Government Contacts Network, you will educate members of Congress about Sjögren's syndrome and autoimmunity and develop policies and programs to benefit people with Sjögren's. We will be developing a special "Legislative Alert" to mail members of this network. Just let us know if you can attend meetings or hearing, testify, meet with legislators, organize letter-writing campaigns, or contact your representatives.

Government Affairs Questionnaire

Please Note: All fields are required unless otherwise indicated

1. Are you interested in volunteering to help with government issues? Organize and oversee letter-writing campaigns or other aspects of legislative initiatives and information-gathering Write letters Visit legislators Attend meetings or hearings In the Washington, DC area In my state capitol of Other:
2. Do you have contacts in government? Federal Legislators in Congress White House - President and VP or families, White House staff Food and Drug Administration (FDA) in Rockville, MD Center for Disease Control (CDC) in Atlanta, GA National Institutes of Health (NIH) in Bethesda, MD Other Health & Human Service departments State Legislators Other (Please list name of your contact and your relationship) I do not have contacts in government
3. Your contact information:
Name:
Address 1:
Address 2:	(optional)
City:
State:
Zip:
Tel:	(daytime) (evening) (optional)
Fax:	(optional)
E-mail:
4. What is your preferred means of contact? email telephone snail mail other
5. Best hours to contact you? weekday mornings weekday afternoons weekday evenings weekend mornings weekend afternoons weekend evenings

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