GOV

Invitation for:(Required)

Governor Healey

Lt. Governor Driscoll

Governor Healey & Lt. Governor Driscoll

Event Contact Information

Name of Organization(Required)

Event Contact Name

First Last

Event Contact Email(Required)

Enter Email Confirm Email

Phone(Required)

Event Date Information

Date of event(Required)

MM

DD

YYYY

If the event has not been scheduled, please indicate when you are planning the event.

Start Time(Required)

Hours

:

Minutes

AM/PM

End Time(Required)

Hours

:

Minutes

AM/PM

Is this date or time flexible?(Required)

Yes

No

Event Location Information

Event Title or Name(Required)

Name of Location:(Required)

Location Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Event Purpose Information

Event Description(Required)

Type of Event(Required)

Intended Role(Required)

Are you requesting remarks by the Governor or Lt. Governor?(Required)

Yes

No

How long is the Governor or Lt. Governor expected to speak?

What is the topic of the desired remarks?

Number of Expected Attendees

Please type a number

Information about the Audience or Attendees:

Is this event open to media?

Yes

No

Is this event open to the public?

Yes

No

Additional Information: