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Governor Scheduling Request

Complete the form below to send a scheduling request to the Governor.

Please note that fields marked with an asterisk (*) are required in order to submit the form.

Type of Invitation/Request *

Meeting

Event

Requestor Name: *

Requestor Email: *

Requestor Cell Number: *

Requestor Office Number: *

Requestor Host/Company: *

Event Name: *

Event Host/Organization: *

Group’s Twitter Handle

Event Hashtag

Has a date been set for this event?: *

No, a date has not been set or the date is flexible.

Yes, a date has been set.

Event Date: *

Month

Day

Year

Event Start Time:

AM/PM

Event End Time:

AM/PM

Event Location: *

Meeting Subject/Purpose: *

Length Governor's Attendance: *

Event Description/Purpose of Governor's attendance: *

Date you would like meeting to occur: *

Month

Day

Year

Would you like the Governor to speak?: *

Yes

No

Length of Remarks: *

Other Length of Remarks:

Suggested Meeting Length: *

Meeting Location:

Please list other speakers and their topics, as well as speaking order: *

Have / Will you invite members of the media to attend?: *

Yes

No

Will a photographer be present at the event? *

Yes

No

Photographer Contact Info *

Attire: *

Other Attire:

Describe Attire: *

All meeting attendees: *

Willing to have staff attend event if Governor is not able to attend?: *

Yes

No

Staff Member Name:

Expected Audience Size: *

Other necessary details/notes:

EmailAuth

I authorize the Governor's Office to send me updates by email or phone

Email Auth

I authorize the Governor's Office to send me updates by email or phone

You may attach a file to this request:

Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png pdf doc docx ppt pptx xls xlsx.

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