Invitation/Event Form

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	Name of event:
	Date of event:	/ /
	Name of event contact:
	Cell # on site:
	Purpose of event/invitation:
	Print deadline:	/ /

	Location of event (street address):


	Timeline of Event: (provide times if applicable -- i.e. 6:30 pm, etc.)	Breakfast Lunch Reception Dinner Start Pau
	Lt. Governor to be seated at head table?	Yes Table # No
	Lt. Governor to be seated with: (1000 character limit)
	Menu & approximate serve time: (1000 character limit)
	Speech request:	Welcome Keynote Other
	Length of speech:
	Topic of speech:
	Lt. Governor to be introduced by:
	Title:
	Other speakers?	Yes No
	If other speakers, who?: (500 character limit)
	Number of people attending:
	Media present?	Yes No
	Can a guest accompany Lt. Governor?	Yes No
	Can a guest and Lt. Governor be seated together?	Yes No



	Name of requestor:
	Position/Title:
	Organization name:
	Function of organization or individual:

	Address:
	City, State, Zip Code:

	Phone:
	Fax:
	Email:
	Website address:

	Additional Comments: (500 character limit)

	Attaching a file?	Yes No
	Attach a list of invited guests and sample program:

	PLEASE NOTE: You will be notified within two weeks of the submittal of this form as to whether your request has been granted or denied. If you are requesting a date that is more than 45 days away, you will not receive final determination until your requested date comes within that time frame.