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Scheduling Office of Lieutenant Governor Gilchrist
Event Request Form
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Event Dates
 
Check if this is an Open Date Invitation (Event Start and End Date not required)
Event Start Date:
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Event Start Time:
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Event End Date:
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Event End Time:
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Event Name:
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Event Location:
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Street Address:
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City:
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State:
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County:
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OPEN
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Contact Name:
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Host Organization:
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Phone Number:
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Email Address:
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Event Co-Host:
Event Contact Name/Info:
Is Media Invited?
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Yes
No
Number of Attendees:
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Event Purpose:
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Lieutenant Governor Role:
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Select Role
Pre Recorded Video
Speaking
Meet & Greet
Meeting
Attend
Video Conference
Required Field
Agenda:
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Required Field
2000 Maximum Number of Characters Allowed
Event Background Information and Website:
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Required Field
2000 Maximum Number of Characters Allowed
Has Lieutenant Governor Gilchrist spoken to this group previously?
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If so, when and where?
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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.
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