Wyoming Office of the Governor - Dave Freudenthal

Name of Event: *  
Date of Event: *  
Time when Governor is asked to participate: *  
Location of event (street address and city): *  
Requestor Details:
Name of requestor: *  
Position/Title:
Organization name:
Function of organization or individual:
Address: *  
City, State, Zip Code: *  
Phone: *  
Fax: *  
Email: *  
Website address:
Additional Comments:
Please explain why you would like the Governor to attend: *
 
Timeline of Event:
Breakfast:
Lunch:
Reception:
Dinner:
Approximate serving time:
Speech Request:
Keynote:
Welcome:
Recognition:
Length of speech (honest estimate):
Attendees or other sponsors that needs to be recognized by the Governor, if any:
What would you like the Governor's comments to address? If appropriate please provide speech bullet points - 2 weeks prior to event:
Other Speakers:
Is agenda available:
Can a guest accompany:
Is the First Lady invited:
**If the Governor is on a tight schedule, when can he step out (leave event)?
**Extra Activities - What might he expected to do besides speak?
Completion of this form is not a guaranteed commitment of the Governor's attendance. You will be notified of official attendance by Governor's Scheduler.