Forms for Districts

PACD State Legislative Contact
Information Form

Download this form in Word | PDF

Contact Information

______________________________________________________
Name

______________________________________________________  
Conservation District

______________________________________________________
Current Position (Director, Associate Director)

______________________________________________________
Address

___________________________________ _____ _____________
City                                                                 State   Zip

_____________________________ _________________________
Home Phone                                        Work Phone

PACD State Legislative Contact Listserve Sign-Up

PACD provides a listserve (a group e-mail list) just for State Legislative Contacts. Only those on the listserve can send e-mail messages to and receive e-mail messages from other State Legislative Contacts and PACD via the listserve. The listserve is a fast, efficient way of communicating with your counterparts in other counties. If you would like to be included on the PACD State Legislative Contact listserve, please sign up below.

____ Please sign me up for the listserve! My e-mail address is:

______________________________________________________

Please return a completed copy of this form to:
PACD
25 North Front Street
Harrisburg, PA 17101

Fax: (717) 238-7201

Questions? Please contact PACD at (717) 238-7223.