Invite the Governor

Contact Information:

* denotes a required field.

Prefix

First Name *

Middle Initial

Last Name *

Organization

Organization Website

Street Address

City

State

Zipcode

Country

Email Address *

Phone Number *

Voice VP TTY

Event Details:

Governor’s Role *

If other, please describe

When is the event? *

Is the date flexible pending the Governor’s schedule? *
Yes No

Meeting Start Time *

Meeting End Time *

Is the time flexible pending the Governor’s schedule? *
Yes No

If there is flexibility, please provide alternative dates and/or times:

Date1

TimeStart 1

TimeEnd1

Date2

TimeStart2

TimeEnd2

Has the Governor participated in the past? *
Yes No
Event Name *

Subject of Event (select all that apply):

Agriculture Arts, Culture, History Budget Civil Rights Education Energy Environmental Government Issues Jobs, Economic Development Health Homeland Security Housing International Trade Labor Public Safety Social Issues Taxes Telecommunications Tourism Transportation Other NonProfit Fundraisers Recognizing Employees
Event Subject Other

Location of Event

Address1 *

Address2

City *

Zipcode *

Room Name / #

Participants / Audience

Are there other event partners/co-sponsors? If so, please list

Estimated number of attendees *

Special guest or honoree

Please describe the audience composition. What kinds of groups will be represented? *

Event Purpose

Please describe the objectives of the event. *

Does the event commemorate a special anniversary or an awareness day, week, or month?

Event Agenda

Please provide the agenda or rough outline of what will happen at the event. *

What do you want the Governor to know about your event and/or organization? (Please describe any announcements, achievements, unique elements, interesting photo opportunities, etc).*

Are you inviting the media? *
Yes No
Comments

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Thank you for taking the time to invite Governor Carney!