Share your story virtually with Congress

Thank you for your interest in sharing your story with Congress. Please complete the following form, and a Bookshare team member will be in touch if you are selected to meet with your representative virtually.

1. Please provide your contact information.

First Name *This question is required.

Last Name *This question is required.

Street Address *This question is required.

Apt/Suite/Office

City *This question is required.

State *This question is required.

Zip *This question is required.

Email Address *This question is required. This question requires a valid email address.

Phone Number

2. Role *This question is required.