Your Information Prefix: * - Select -Ms.Miss.Mrs.Mr.Mr. and Mrs.Rev.Dr.The HonorableRabbi First Name: * Last Name: * Your ResidenceThis is the address of your permanent residence. Street Address: * City: * State: * Zip Code: * Your Mailing Address Just Before InaugurationIf your delivery address for a commercial-carrier overnight letter – that would be delivered about one week before the actual inauguration ceremony – is different from the above address, give that different address here. [If this doesn’t apply to you, skip this “question.” If there is no such address that would be workable for a commercial-carrier overnight letter about one week before the inauguration, state that and/or explain further.] Street Address: * City: * State: * Zip Code: * Phone Number Give your mobile phone, if you have one. * If don’t have a mobile phone, give your landline phone number. Email Email: If you’d like to include any other comments, you may express those here. Request Details How many tickets are you requesting? (Note: You may request as many tickets as you want, but grants of tickets, when that occurs, may be limited to 2.) If you requested more than 2 tickets, would you make use of just 2 tickets if 2 tickets were granted? [If you requested 1 or 2 tickets, skip this question.] The largest number of tickets granted to Members of Congress by the JCCIC are National Mall area tickets, near Third Street. If you were provided tickets in this area, would you attend the inauguration and utilize them? If you requested 3 or more tickets, give the name(s) of ALL others you are requesting AND describe their relationship to you. Don’t forget to describe the others’ relationship to you. [If you requested 1 or 2 tickets, skip this “question.”] If you are a full-time college or graduate student whose college or university lies outside of the 3rd Congressional District, state the city/town/county and state where you graduated from high school. [If this doesn’t apply to you, skip this “question.”] If you are a full-time college or graduate student whose college or university lies WITHIN the 3rd Congressional District of Nevada, state the name of your college or university. [If this doesn’t apply to you, skip this “question.”] If you are a full-time college or graduate student whose college or university lies WITHIN the 3rd District, state the city/town/county and state where you graduated from high school. [If this doesn’t apply to you, skip this “question.”] If you are not a college or graduate school student, and your current residence address (given above) is not within, but you have a family, background, work, or other connection to the 3rd Congressional District of Nevada, explain what that is here.
