MEETING

REQUEST

Please complete the form below to request a meeting with Representative Lauren Cheape Matsumoto.

If you have any supporting documents, please email to repmatsumoto@capitol.hawaii.gov

Name

First Name

Last Name

Company/Organization

Job Title

Phone Number

(###)

###

####

City

State

Zip/Postal Code

Number of People Attending

Names of People Attending

Type of Meeting

Topic of meeting

Summary of issue(s) you would like to address:

Action you would like Representative Matsumoto to take:

If you selected other, please write a brief explanation: