Meeting Request

To schedule a meeting, please submit the following scheduling request form.

Due to the large volume of requests, please allow 5 business days before following up on the requests.

TOPIC & ATTENDEES

If this meeting is about current legislation please provide the Bill #, author and current location of the bill (if you have that information):

Topic/Purpose of Request:

Bill Type

N/A

Bill Number:

Position:

Issue to be Discussed-include position represented by attendees:

Attendees (Name, title, whom they represent):

Number of Attendees:

Program Time:

Speaker Time:

Length of Speech (minutes):

Who will be introducing the Speaker?

Are there other Guest Speakers? If so, who speaks before and after the Speaker?

What will the setup be (theater style, round tables, stage/riser, etc.)?

Will there be a podium with an attached microphone?

Yes

Will there be press or media there? If so, who?

Attendees are Constituents:

Address for Constituents

DATE/TIME & LOCATION

Date/Time is open for change or contains multiple dates

Additional dates:

Preferred Location of Meeting:

Capitol Office

District Office

Other Location

Role for Speaker:

Resolution

Letter

Honorary Host Committee

Other

Description:

Address:

Address 2:

City:

State: *

Zip:

Location is outside of country

Province/Region:

Postal Code:

Country:

CONTACT INFORMATION

TOPIC & ATTENDEES

DATE/TIME & LOCATION

SUBMISSION INFORMATION