You’re offline. This is a read only version of the page.
Personal Information
First Name
*
*
Last Name
*
*
Organization
*
Daytime Phone
*
*
Alternate Phone
*
Fax Number
*
Email Address
*
*
Address
*
*
City
*
*
State
*
*
ZIP
*
*
Event or Meeting Information
Type of Event
*
Auction Item
Banquet
Celebration
Ceremony
Conference
Convention
Courtesy
Dinner
Gala
Interview
Luncheon
MTG
Media Request
Meet & Greet
PH
Rally
Reception
Remarks
Ribbon Cutting Ceremony
Tour/Site Visit
Town Hall
Virtual MTG
Virtual Remarks
Event Title
*
*
Event Begins On
*
*
Event Ends On
*
*
Preferred Attendance Time
*
*
Alternate Attendance Time
*
Duration of Governor's Time
*
*
Event Location
*
*
Physical Address
*
*
Physical Address City
*
*
Physical Address State and ZIP
*
*
Description/Purpose of Event
*
*
What is requested of the Governor?
*
*
How many people will attend?
*
*
*
List of Notable Attendees
*
*
Additional Information
*
Media Invited?
*
The media has been invited
The media has not been invited
First Family Invited?
The First Family is invited as well
No thanks, Governor only please
Alternate Attendees?
Governor only is invited
Lt. Governor may alternate
Governor’s staff may alternate
Podium and Microphone?
Podium/microphone planned
No podium or microphone
Not applicable
Technical Contact Information
*
Generate a new image
Play the audio code
Enter the code from the image
