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USE YOUR OWN LETTERHEAD Make This Request At Least 30 Days In Advance INSERT DATE To: Scheduler Office of Senator or Representative INSERT NAME OF SENATOR OR REPRESENTATIVE Fax Number: INSERT THE SCHEDULARS FAX NUMBER (Found on: http://capwiz.com/chestnet/dbq/officials/) From: INSERT YOUR NAME Re: Constituent Meeting Request I respectfully request to meet with Senator or Representative INSERT NAME OF SENATOR OR REPRESENTATIVE on INSERT Day, Month Date, Year, ie Monday, April 16, 2008 between the hours of INSERT TIME RANGE, ie 1 pm and 3 pm ..