Event Participation Form: Michelle Patrick
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Event (title & purpose of event): *
Date: *
MM
/
DD
/
YYYY
Event start time: *
Time
:
Approximate time of conclusion: *
Time
:
Will the event be preceded or followed by a meal or other social event (i.e. dinner, reception)? *
If yes, start time:
Time
:
If yes, approximate time of conclusion:
Time
:
Suggested attire: *
Location/address: *
Requester's mobile phone number: *
Approximate audience size: *
Do you plan to videotape this event? *
Are the news media invited? *
Honorarium: *
If yes, amount:
Will travel expenses be paid? *
Participation type: *
Subject matter/topics to cover: *
Has the president spoken at this event previously? *
Requestor's name: *
Requestor's email *
Requestor's phone number: *
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