Lt. Governor Bill Bolling: Scheduling Request Form

Scheduling Request

Thank you for contacting the Lieutenant Governor's Scheduling Office. Please fill out the form below to request Lieutenant Governor Bill Bolling's attendance at an event.

Given the public's high interest, please bear in mind that this form is the fastest and most efficient way for us to process your request. After we receive your invitation, we will contact you as quickly as possible regarding the Lieutenant Governor's availability. Thank you.

Please note: All fields except the final four are REQUIRED. This saves everyone time – yours and the Scheduling Office's – by helping ensure that all needed information is provided.

Personal Information

* First Name

* Last Name

* Address

* City

* State

* Zip

* E-mail Address

* Telephone

Organization (if applicable)

Event Information

* Event Address

* City

* State

* Zip

* Date of Event

* Type of Event

* Start Time

* End Time

Event Description

* Please describe the basic nature and purpose of the event.

* What would you like the Lieutenant Governor to do at this event?
(e.g., deliver keynote address, make appearance, panel discussion, etc.?

* How many people do you expect to attend this event?

* Do you plan to invite media to cover this event? Yes No

Sponsor Information (Optional)

Group Sponsoring Event (if applicable)

Sponsor Contact

Sponsor Contact Telephone

Web site address