Response

Requestor

First Name

MI

Last Name

Organization (if applicable)

Title (if applicable)

Address Line 1

City

State

Zip

Email

Phone

Event Point of Contact

First Name

MI

Last Name

Email

Work Phone

Cell Phone

Event Information

Type of Event

Proposed Meeting Format

Event Date

Event Title

Event Start Time

Event End Time

Event Location (If applicable)

Event Address (If applicable)

Event City (If applicable)

Event State (If applicable)

Event Zip (If applicable)

Organization

Event Summary

Parking Instruction

Dress Code

Number of People Expected

Other Notable Attendees

Open to Press

Open to Public

Is a biography needed?

Is a photo needed?

COVID-19 Protocols

Has the Governor participated before?

Date of previous participation

Speaking Event Information (if applicable)

Type of Speaking Role

Speaking Arrangements

Length of Remarks (Min)

Topics to be Covered

Introduced by

Estimated Start Time of Remarks

Other Speakers

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