Website banner of Lt. Governor Gilchrist standing in front of the Mackinac Bridge

Event Request Form

* indicates field is required

Event Information

Event Name

Event Start Time

Event End Time

Event Location

Event Street Address

Event City

Event State

Event County

Host Organization's Information

Host Organization Name

Organization Background

Contact Name

Phone

Detailed Event Information

Event purpose

Event web page

Is Media Invited?

Yes No

Number of Attendees

Lt. Governor Role:

Agenda:

Other Dignitaries Attending:

Has Lt. Governor Gilchrist spoken to this group previously? If so, when and where?

Attachment (maximum of two files and only PDF and Word files are allowed)

Please Note: All required fields must be properly filled out in order to submit your request. If available, please attach event program, brochure, and any additional materials regarding the event. Due to the high volume of event requests and invitations, we are unable to accommodate all requests.