Name of Event:
Contact Person:
Phone:
Address:
E-Mail:
Description of Event:
Date of Event:
Time of Day:
Place:
Sponsoring Organization:
Are Remarks Requested?
Yes No
What Remarks are Requested?
Suggest Topic of Remarks:
Will there be other speakers? If so, who and in what order will they speak?
Number of persons estimated to be in attendance:
VIP's in audience:
Press/Media Expected to Attend:
Audio/Video Available (tall podium & mic generally preferred):
Special Notes:
Written Invitations Issued?
If yes - Please send copy
