If you would like to make a request for the Governor to attend or speak at an event, please fill out the following request form and be sure to fill in each of the blanks on this form. After you have filled in all of the information, click on the ‘Submit’ button and you will receive an e-mail confirming that your request has been received by the Governor’s office. Please submit your scheduling request for an event that is at least two weeks from today’s date. Thank you.

Prefix  
First Name Last Name
Home Phone  
Work Phone
Email  
Name Event  
Requested Date  
Day of Week
Speaking Time  
Speech Length
Speech Topic  
Person Introducing the Governor
Other Speakers  
Begin Time  
End Time
Inside or Outside  
Location Event  
Name Facility  
Address Facility  
Directions Facility  Airport  
Sponsor Group   Org  
Contact Person 1  
Contact Person 2  
Emerg Event   Locate Number  
Estimated   Attendance  
Media Attending  
Bio Request  
Notes/Past Speakers  

 

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