EVENT REQUEST FORM

      
Please fill out the following information to invite the First Lady to your event. Please note that due to the volume of requests the First Lady receives, not all requests will be granted. You will be contacted regarding your request in 1-2 weeks from the date your request was submitted.
  

ONLY REQUESTS FOR EVENTS THAT ARE WITHIN 30 DAYS FROM TODAY WILL BE CONSIDERED.
    

Event Title:    
Name of Organization/Group:    
Event Location:    
Date of Event:   
Time of Event:    
Length of Event:     start time:   end time:
Total # of Attendees:    
     
     

         Is this a request to have the  FIRST LADY  Speak at your Event?  
   
     

         Please provide the length of speaking time requested.
     (enter speaking time followed by hr(s) or minutes)
     

         Please provide brief description of the desired topic(s) to be covered in the FIRST LADY'S speech.
   
     

         DO YOU PLAN ON DOING A PRESS RELEASE OR TO HAVE MEDIA AT THE EVENT?
   
  

                                         IF YES, PLEASE INDICATE BELOW:
   
  
     

         Your Contact Information:
Name:    
Phone #:    
Email Address:    
     
Organization/group  
background info:   		 
     
Any other essential   
information pertaining to   
your request:   		 
     
Key Attendees &  
Invitees:  
(list all)   		 
     

NOTE: Due to the high volume of requests, please be aware that the FIRST LADY is unable to accommodate every request.