**Please note that June/July/August are our busiest months. 3-4 week notice for an event request is suggested. 

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* 2. First Name:

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* 3. Last Name:

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* 4. Phone:

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* 5. Email:

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* 6. Organization/Group:

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* 7. Is this the office of an Elected Official?

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* 8. Will this event be held Virtual or In-Person?

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* 9. Title of Event

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* 10. Start Date of Event:

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* 11. End Date of Event:

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* 12. Start Time of Event:

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* 13. End Time of Event:

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* 14. Street Address of Event(For In-Person Only):

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* 15. City:

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* 16. ZIP Code:

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* 17. If this is a request for a speaker, what time will they speak?

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* 18. Will Elected Officials be present?

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* 19. Will Media be present?

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* 20. Please briefly describe your event:

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* 21. Anticipated Audience Size:

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* 22. Event Type:

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* 23. Presentation Type:

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* 24. Audio/Visual Needs Our Office Needs to Provide(For In-Person Only):

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* 25. Other Comment:

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