Congresswoman Mazie K. Hirono

Speaking Request

Invitation to attend or speak at your event

To submit an invitation or a request for Congresswoman Hirono to speak at your event, please fill out the form below.

Fields marked with an asterisk * are required for a response.

Salutation *
First Name *
Last Name *
Organization

Street Address *
Street Address (2)
City *
State *
Zip Code *

Phone Number *
Day of Event Contact *
Cell Number *
E-mail *

Event Date *
Event Start Time *
Apprx. Event Length *
Location *
Request Type *	Keynote (10 - 20 min) Short Remarks (5 - 10 min)

Additional Information

	Please fill out the form as completely as possible. Please note that submitting this request does NOT constitute a confirmation. A confirmation will be sent in another email. Thank you for your cooperation.