Scheduling Request

Complete the form below to send a scheduling request to Mr. Weecks.

Please note that fields marked with an asterisk (*) are required in order to submit the form.

Type of Invitation/Request: *
 Meeting Event

Requestor Name: *

Requestor Email: *

Requestor Cell Phone Number: *

Requestor Office Phone Number:

Event Name: *

Event Host/Organization: *

Event Website:

Has a date been set for this event?: *
 No, a date has not been set or the date is flexible. Yes, a date has been set.

If yes, what is the date of the event?:

Event Location: *

Length of Mr. Weecks' Attendance: *

Event Description/Purpose of Mr. Weecks' attendance: *

Would you like Mr. Weecks to speak: *
 Yes No

Have / Will you invite members of the media to attend?:
 Yes No

Will a photographer be present at the event?:
 Yes No

Attire: *

Expected Audience Size: *

Other necessary details/notes:

You may attach a file to this request:

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