Living Wage Coalition of Sonoma County Name/Org._________________________________ 
Outreach Worker ______________________
Phone ______________________

OUTREACH COMMITTEE - CONTACT WORK SHEET

Name/Organization _____________________________________________ Tel:________________________ 
Address ___________________________________________ Fax: _______________________ 
City:____________________________ Zip:____________ Email: _________________________________ 

Work/Organization:_____________________________________________ Tel: ________________________ 

Address______________________________________________________ Fax:________________________ 
Email:__________________________________

Primary Contact(s)______________________________________________Title________________________
Other Key Contacts _________________________________________________________________________
____________________________________________________________________________________

Cultivation Plan ____________________________________________________________________________
__________________________________________________________________________________________

FINAL OUTCOMES: SPEAKER? ____ Date ______________ Who? ____________________
Endorsement: ____Yes ____No ____ Use Name?________ 
Send Rep. To Meetings(Names):______________________________________________________________
Article in Newsletter? _______________________________________________________________________ 
Encourage Ind. Pledge Support______________________Contribution or Pledge $______________________
Comments________________________________________________________________________________

RECORD OF CONTACTS
Date Purpose/Outcomes/Follow-up Required?
Initial Contact______________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________ __________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

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