Online Invitation Form

 
This online form has been designed to provide you with a convenient way to invite Lt. Governor Wyman to an event or meeting. We ask for your patience as we cannot make commitments more than 30 days in advance of an event.
 
Fields marked with an asterisk (*) are required fields
 
*First Name of Requestor:
*Last Name of Requestor: 
*Phone Number (Home): 
Phone Number (Business):
*Phone Number (Cell):
FAX Number:
*Email Address:
Address Information
*Street:
*City: 
*State
*Zip Code:
*Event Type:
*Event Name:
*Sponsoring Organization:
Event Honoree (if applicable):
*Date of the Event:
*Start Time of the Event:  
   
*End Time of the Event: 
   
*Lt. Governor's Participation Time: 
 
Will there be additional speakers: 
*Event Location:
*Event Street Address:
*Event Town:  
  
*Event State:
*Directions to the Event: (Please provide detailed directions to the event)
 
*EVENT DESCRIPTION AND ROLE OF THE LT. GOVERNOR IN THE EVENT 
 
* Please provide a brief description or outline of the event in addition to a formal or proposed agenda
 
* Please provide some basic information about the role of the Lt. Governor in the event. For example, would you like her to serve as keynote speaker? Attend a groundbreaking? Take a tour? Meet with students?
ABOUT THE AUDIENCE
* Please advise on the composition of the audience. For example, will the audience be business people? Teachers? Employees? Are there any issues that are of interest to the audience that they would like the Lt. Governor to address?
Is the Event Open to the Press:
Expected Number in Attendance:
You may attach up to 3 files if necessary (not to exceed 3 MB):
Attachment 1: 
Attachment 2: 
Attachment 3: