New Hampshire Governor John Lynch

StayWarmNH.org

EVENT INFORMATION SHEET
Invite the Governor to an Event

(All fields with an * are required to ensure your message is processed)

ABOUT THE EVENT

Name of event^*:

Date of Event^*:

Time:

Location / Place event will be held^*:

Street Address:

City:

State:

Zip:

Phone number at this location:

Detailed directions:

(500 character limit; 500 remaining.)

Purpose of event (Please be specific; i.e. weekly, monthly, annual meeting; press announcement, public awareness, awards banquet, etc.)

(500 character limit; 500 remaining.)

History or Background of Event:

(500 character limit; 500 remaining.)

EVENT SPONSOR / HOST

Contact Person

First name^*:	Last name^*:

Business Phone^*:

Contact's Address:

Home Phone:

City:

State:

Zip:

Fax (optional):

Email^*:

Mobile/Cell Phone:

Organization:

Pager:

Media Relations Contact Name:

Media Phone:

Media Relations e-mail address & pager number:

Media Cell Phone:

Other person and phone for day of event in case of an emergency or delay.
Name:

Phone:

Who are the key organizers and sponsors of the event? Please provide any relevant history or information regarding their sponsorship or involvement:

(500 character limit; 500 remaining.)

ABOUT THE AUDIENCE
Who is the audience the Governor will be directing his remarks? (i.e. business leaders, teachers, children, students): (500 character limit; 500 remaining.)
Are there other details about the audience that would be helpful to the Governor? (i.e. representatives of a specific region, employees of a particular company, audience's interests): (500 character limit; 500 remaining.)
Expected number in attendance:	Will there be any other elected officials or dignitaries in attendance? If so, who? (500 character limit; 500 remaining.)

EVENT TIMES & DETAILS

Please fill out if applicable:
Social Hour	Yes No	Time:
Breakfast	Yes No	Time:
Lunch	Yes No	Time:
Dinner	Yes No	Time:
Open to the public?		Yes No
Open to the media?		Yes No
Will your organization also provide information to the media?		Yes No
Photographers may be present at this event. Do we have your permission to use images from this event on our website or on other state-sponsored materials?		Yes No

Approx. time the Governor will be introduced to speak:

What takes place immediately before the Governor speaks?

And immediately after?

Attire:

Who will introduce the Governor?

Who else will be speaking? (Name and title) What topics?

(500 character limit; 500 remaining.)

Who will be seated with the Governor?

(500 character limit; 500 remaining.)

Office of the Governor : State House : Concord, NH 03301