Presidential Appearance Request Form

Event(Required)

Time(Required)

Date(Required)

Event Topic(Required)

Event Program

Accepted file types: pdf, doc, docx, jpg, jpeg, png, Max. file size: 24 MB.

Requesting Organization(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Contact Name(Required)

Phone

Address

Street Address Address Line 2 City State ZIP Code

Event Attire(Required)

Is Mrs. Smith’s attendance requested?(Required)

Event background(Required)

Please briefly tell us what this event is. Any themes?

Do you expect media?(Required)

Will any VIPs/legislators be in attendance?(Required)

Expected Audience

Are remarks requested(Required)

Please briefly describe the audio/stage setup

If the president is unable to attend, would you accept an alternative?

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