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Scheduling Request

Scheduling Details
Date: *
Time: *
Location: *
Full Address: *
Estimated Attendance: *
Audience/Attendees: *
Notable Attendees: (include biography if available)
List of Event/Key Organizers:
Point of Contact Details
Prefix: *
First Name: *
Last Name: *
Cell Number: *
Email: *
Member Participation Details
Remarks: *
Format: (if applicable)
Length: (if applicable)
Topic: (if applicable)
Q & A: *
Q & A Length: (if applicable)
* Staging Type:
Press: *
Type of Press: (if applicable)
Attire: *
Host Organization Details
Background on the Organization
Organization's areas of interest / legislative agenda
Organization's recent accomplishments