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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
Is from Webform
Is from Webform
No
Is from Webform
Yes
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