Contact Information Organization Name Contact Name Contact Email Deadline for Response Event/Campaign Information Event Name Event Date Event Time Issue(s) Being Targeted Include information on positions on issues, e.g. Oppose the death penalty What other organizations/individuals are co-sponsoring? What are you asking of NLGSF? NLGSF name in list of sponsors/endorsers Yes No Amount of Financial Support (very rare) Speaker(s)—topic Publicity for event with NLGSF membership Yes No Position letter or statement (please provide sample) Yes No Participation in planning/organizing Yes No Other By submitting this form, you accept the Mollom privacy policy.