Request the Governor to Attend an Event

Event Information

Event Name *

Date *

Program Start Time *

Program End Time *

Reception Time

Meal Time

Check All Meals Provided

Location *

Address *

City *

County *

State *

Zip Code *

Building

Floor

Room

Event Contact & Directions

Primary Contact *

Email *

Daytime Phone *

Evening Phone

Cellular Phone

Location Contact *

Email *

Daytime Phone *

Evening Phone

Cellular Phone

Directions to Location

Event Details

Governor's Detailed Role *

Appropriate Dress Attire *

Dignitaries Attending *

Introductions By *

Expected Attendance

Open to the Public? *

Open to the Media? *

News Release By Group?

Special Issues/Topics

Who will meet Governor
upon arrival?

What duration of time are
you requesting the Governor
attend your event?

If the Governor is speaking,
how long should he speak?

Please include any
additional information here