Speaking Requests

BaileySeal

Event.Request@ago.mo.gov

REQUEST AN APPEARANCE BY ATTORNEY GENERAL ANDREW BAILEY

Event Request

Request Type:*

Business

Personal

Requestor Contact Information

Salutation:

Contact First Name:*

Contact Last Name:*

Contact Daytime Phone:*

Contact Other Phone:

Contact E-mail:*

Event

Event Name:*

Type of Engagement:*

If Other, Provide Additional Information:

Event Host or Organization:*

Event Website:

Event Description and Purpose of Attorney General's Attendance:*

Has an Attorney General attended and/or spoken at this event previously?*

Yes

If Yes, please provide date of participation:

Event Attire:*

Other description:

Event Date

Has a date been set for this event?*

Yes

No, a date has not been set -or- the date is flexible

Event Date:*

Event Start Time:*

Event End Time:*

Requested Time for Attorney General's Participation:*

Speaking Engagement

Would you like the Attorney General to speak?*

Yes

Requested Length of Speech:*

Suggested Topic of Attorney General's Remarks:*

Event Location

Event Venue Name:*

Event Room Name:

Street Address Line 1:*

Street Address Line 2:

City:*

State:*

Zip Code:*

--Use 00000 if outside the United States--

Missouri County:

Country:

-- If different than the United States, please enter the country --

Event Attendees

Expected Number of Attendees:*

Is this event open to the public?*

Yes

Is this event open to the media?*

Yes

Not sure

List notable attendees (please include Elected/Appointed Officials):*

Other Comments on Attendees:

Additional Information about the Event

Other Comment or Details: