Event Request Form

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Scheduling Office of Lieutenant Governor Gilchrist

Required Fields*

Event Dates
	Check if this is an Open Date Invitation (Event Start and End Date not required)
	Event Start Date: *	Event Start Time: * Required Field
	Event End Date: *	Event End Time: * Required Field
Event Name: *		Required Field
Event Location: *		Required Field
Street Address: *		Required Field
City: *		Required Field
State: *		Required Field
County: *		Required Field
Contact Name: *		Required Field
Host Organization: *		Required Field
Phone Number: *		Required Field
Email Address: *		Required Field
Event Co-Host:
Event Contact Name/Info:
Is Media Invited? *		YesNo
Number of Attendees: *		Required Field
Event Purpose: *		Required Field
Lieutenant Governor Role: *		Required Field
Agenda: *		Required Field 2000 Maximum Number of Characters Allowed
Event Background Information and Website: *		Required Field 2000 Maximum Number of Characters Allowed
Has Lieutenant Governor Gilchrist spoken to this group previously? * If so, when and where?		Required Field 2000 Maximum Number of Characters Allowed
Twitter:
Attach Files:		You can attach a maximum of two files and only PDF and Microsoft Word files are allowed..
	Please verify that you are not a robot.
	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.