Request an appearance by First Lady Georganne Nixon

Use the form below to request an appearance by First Lady Georganne Nixon.

Organization and Contact Information
Organization or Group Name*
First Name *	Last Name *
Contact Email*
Contact Primary Phone*	Other Phone
Event Location and Time
Event Name*
Location of event* Address 2
City*	State	Zip*
Event Date*	Event Start and End Times*
Time of First Lady's Appearance*
Event Details
Event Background Information (history, agenda, press releases, etc)* 0 characters used 10,000 characters allowed
Dignitaries, other speakers participating (note confirmed or invited)* 0 characters used 1,000 characters allowed
Role of First Lady at event*
Suggested Topic of First Lady's remarks (include time length)* 0 characters used 1,000 characters allowed
Audience (students, seniors, etc.)*	Expected number of attendees*
Media are expected to attend the event
I would like the First Lady to send a greeting letter if she is unable to attend.
Other Comments or Details 0 characters used 2,000 characters allowed

* denotes required field