Note: Fields marked with an * are required.

Scheduling Request

Would you like to schedule a meeting with Senator Manchin or request that he attend an event? *

Schedule a Meeting

Event Request

Meeting Form

Name: *

Organization: *

Office Phone: *

Cell Phone: *

Email Address: *

What is your meeting regarding?: *

Would you like to meet at Senator Manchin's WV office or at the U.S. Capitol Senate Office?: *

West Virginia Office

U.S. Capitol Senate Office

Date of Meeting: *

If Senator Manchin is unable to meet with you on this date, are you available to meet another date?: *

Yes

No

If so, what dates would you be available?:

If Senator Manchin is unable to meet with you, would you be available to meet with a staff member?: *

Yes

No

Additional information such as attachments should be emailed to scheduler@manchin.senate.gov

Event Form

Event Name: *

Date of Event: *

Location: *

Event Contact Name: *

Day Phone: *

Cell Phone: *

Email Address: *

Additional information such as attachments should be emailed to scheduler@manchin.senate.gov