Alaska Governor Sean Parnell

State of Alaska > Governor > Invite the Governor to Meeting or Event

Please fill out the form below if you would like to invite Governor Sean Parnell to attend or participate in an event. If you have any questions regarding our scheduling process, please contact the Governor’s scheduler at (907) 465-3500.

The Governor’s scheduling office will contact you to follow up per your request. You will be notified of the Governor’s availability for the requested date.

Please keep in mind that Governor Parnell maintains a demanding schedule which may change at any time depending on the current responsibilities and needs of the State of Alaska. We apologize for any inconvenience if this occurs. We will attempt to send a designee as a replacement if his participation must be cancelled. We appreciate your understanding.

* indicates a required field.

PERSONAL/CONTACT INFORMATION

Prefix:

First Name:

Last Name:

Organization: *

Title:

(Use "SELF" if not part of an organization)

Daytime Phone:

(xxx-xxx-xxxx)

Alternate Phone:

(xxx-xxx-xxxx)

Fax Phone:

(xxx-xxx-xxxx)

Email:

(Please enter NONE if you do not have an email address)

Address:

City:

State:

* Zip:

EVENT INFORMATION

Date(s) of the Event:

From - -

to - - *

(mm-dd-yyyy)

Requested Attendance Date:

- - *

(mm-dd-yyyy)

Requested Attendance Time:

Alternate Attendance Date:

- -

(mm-dd-yyyy)

Alternate Attendance Time:

Not yet confirmed

Duration of the Governor's Time:

(If OTHER, use box to specify)

Type of Event:

(If OTHER, use box to specify)

Event Title:

Event Location:

Street:

City: *

State: *

Zip code:

Size of Audience (Number of Attendees):

List/Identify Notable Attendees: *

If the Governor is not able to attend this event, would you request the Lt. Governor's or Governor's office staff to represent him?: *

Yes

Is the First Family invited?: *

Yes

Description/Purpose of Event: *

What specifically is requested of the Governor?: *

Will the media be invited?: *

Yes

Will there be a podium and/or microphone?: *

Yes

Technical Contact Name/Number for your Event (Audio/Video/Setup):

Additional Information:

(DMVA)

(DOLWD)

(OMB)

(GOV)

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