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Scheduling Request

Please fill in the appropriate fields pertaining to your event. You can print this form out and send it to the address below if you prefer not filling in the online form.


General Information

* Indicates Required Fields

* Event:

* Beginning Time: :  

* Ending Time: :  

* Date of Event:

* Location of Event:

Room Name or Number:

* Address

* City

* State

Location Phone Number:

* Contact Name:

* Contact Email:

* Contact Phone with Area Code:

* Contact Alternate Phone (cell or pager):

Event Information

Attend Keynote Participate Remarks Welcome

Other:

Topic of Lt. Gov Remarks:

Length of Remarks:

Exact time the Lieutenant Governor will speak:

Is this an annual, monthly, or weekly event?

Event Sponsors:

Approximate number of attendees:  

Dress:

Make-up of Audience:

VIPs invited to attend:

Who will introduce the Lt. Governor?

Will there be a podium or other sound equipment?

Please list where the Lt. Governor will be seated and who will be seated with her:

* Your name:

* Email address:


Any Additional Information:

If you have difficulty submitting the online scheduling form, please fax a copy of the request to 405-525-2702 and call 405-521-2161 to confirm.

Please return to:
Office of the Lieutenant Governor
Director of Scheduling
211 State Capitol Building
Oklahoma City, OK 73105
PHONE: 405/521-2161
FAX: 405/525-2702