Home • Event Scheduling Requests
Event Scheduling Requests

I am pleased to assist constituents of the 28th District of Texas with their Speech and Meeting Requests. Once your request is received, my staff will contact you to verify your request and discuss the appropriate arrangements. You may also download a Scheduling Request Form to fill out and email or fax to our scheduler. Thank you.

Fields with an asterisk(*) are required.

YOUR CONTACT INFORMATION:
Full Name*:
Organization:
Address*:
Address2:
City*: State*: Zip*: -
Email*:
* Phone: Fax:
Cell Phone:

REQUEST FOR CONGRESSMAN TO SPEAK? Yes No
If 'Yes', has Congressman spoken to this group before? Yes No
If 'Yes', when and about what?
If surrogate attends, speaking role? Yes No
Time to Speak: Introduced by:
List Issues to be Addressed:
Other Issues of Inerest to Group:


GENERAL EVENT INFORMATION:
Event Date*: Day of Week*:
Event Time* From*: To*:
Time Congressman to Arrive:
Event Name*:
Event Description:
Event Location Name:
Event Address*:
Event Address2:
Event City*: State*: Zip*: -
Event Location Phone:
Media Attending:
Media Outlet:
Attire:
Black Tie Other:
Audience Size:
Aud. Description:
(profession, age, orgs)
VIPs to Attend: Yes No If 'Yes', Who?:

CONTACT INFORMATION FOR DAY OF EVENT:
Name:
Phone:
(Cell preferred)

ADDITIONAL INFORMATION REQUESTED:
Photo/Biography of Congressman Requested: Yes No
If 'Yes', Send to:
Date Required:
Additional Comments:



 

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Washington, D.C.
336 Cannon H.O.B.
Washington, DC 20515
phone: 202-225-1640
fax: 202-225-1641
toll-free: 1 (877) 780-0028

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