Request for Appearance by Governor Doug Burgum

Medium

Thank you for the request. Please complete the form below.

Type of Invitation/Request

Meeting

Event

Name

Cell Number

Office Number

Organization

Agenda/Topic

Date of Meeting

Suggested Meeting Start Time

Suggested Meeting End Time

If Governor is unavailable to meet, please denote other members of our team you would like to attend

Meeting Location

Event Location

All meetings attendees

Event Name

Event Host/Organization

Event Date

Event Start Time

Event End Time

City's Venue

Length Governor's Attendance

Event Description/Governor's Role

Please list other speakers and their topics, as well as speaking order, others invited/confirmed and full agenda

Have/Will you invite members of the media to attend?

Yes

Expected Audience Size

Other necessary details/notes