EOVS

This Invitation is for:(Required)

Secretary Jon Santiago

Deputy Secretary Andrea Gayle-Bennett

Secretary Jon Santiago & Deputy Secretary Andrea Gayle-Bennett

Event Contact Information

Name of Organization(Required)

Event Contact Name(Required)

First Last

Event Contact Email(Required)

Confirm Event Contact Email Address(Required)

Event Contact Phone(Required)

Is this a request for a pre-recorded video?(Required)

Yes

No

Note: Pre-recorded remarks are usually a maximum of 5 min.

Event Date Information

Date of Event(Required)

Month

Day

Year

Expected Arrival Time(Required)

Hours

:

Minutes

AM/PM

Start Time of Event(Required)

Hours

:

Minutes

AM/PM

End Time of Event(Required)

Hours

:

Minutes

AM/PM

Is this date flexible?(Required)

Yes

No

Event Location Information

Event Title(Required)

Name of Location(Required)

Event Location Address(Required)

Street Address Address Line 2 City State ZIP Code

Parking Information(Required)

Event Purpose

Event Description(Required)

Type of Event(Required)

Is this a ticketed event?(Required)

Yes

No

Intended Role at the Event(Required)

Are you requesting remarks by the Secretary or Deputy Secretary?(Required)

Yes

No

Anticipated Number of Attendees

List Public Officials Attending/Invited(Required)

Is the event open to media/press?(Required)

Yes

No

Is the event open to the public?(Required)

Yes

No

Event Purpose Information(Required)