Invite Governor Gregoire to an Event

Important scheduling information:

We do not schedule anything more than six weeks in advance. Once we receive your request we will review it at the appropriate time.
Within two weeks of receiving your request we will notify you about Governor Gregoire's availability (unless you have submitted the request more than six weeks in advance). If you have not been contacted within that time, please contact Barb Winkler at barb.winkler@gov.wa.gov or (360) 902-4111.
Please keep in mind that Governor Gregoire's schedule may change at any time, based on current state needs and responsibilities at the time. If this occurs, we apologize for any inconvenience and appreciate your understanding. We will attempt to find a replacement if this should occur.

CONTACT INFORMATION

First Name:

Last Name:

Middle Initial:

Organization:

Contact Address:

Address line 1:

Address line 2:

City:

State:

Zip:

Daytime Phone:
Area Code: Prefix: Suffix: Ext:

Fax:
Area Code: Prefix: Suffix:

Contact E-mail:

TYPE OF REQUEST

Invite Governor Gregoire to our event
Invite Governor Gregoire to speak at our event

We invite Governor Gregoire to be our:

Governor's Role:

On the following date and time:

Date of Event (mm/dd/yyyy):

Time of Event (hh:mm am/pm):

EVENT DETAILS

Event Title/Name:

Subject of Event:

If you selected "other" above, please describe:

Event Duration:

Location of Event:

Street Address:

City:

State:

Zip:

Who will be in attendance? (Be sure to include any special guests you have invited, as well as an approximate head count.)

Will media be invited?
Yes No

Has the Governor participated in the past?
Yes No

SPEECH DETAILS

Topic:

Do you want time for questions? If so, please indicate how much time you'd like.

Audience Size:

Will there be a microphone?
Yes No

Will there be a podium?
Yes No

Will anyone introduce the Governor?
Yes No

Who else is speaking/performing?

Additional information: