Invite Commissioner Kreidler to speak at your event

Thank you for your interest in inviting Commissioner Kreidler to speak to your group.

We typically need four weeks advance notice – ideally more – to consider your request. (Please be aware of scheduling limitations during the legislative session January through April.)

It’s important that you complete this form for us to review your request and provide a timely response.

Questions? Email us or call 360-725-7055.


* Indicates required field

Step 1. Your contact information
* Organization name
* Your name and title
* Daytime phone (xxx-xxx-xxxx)
* Contact email
(A copy of this request will be sent to this email address.)
Organization address
Organization website

Step 2. Type of request
We invite Commissioner Kreidler to be our:
* Commissioner's role
If panel, who else is on panel?

* Would your organization consider an alternate speaker from our office? Yes No
On the following date and time:
* Date of event (mm/dd/yyyy)
* Start time of event (hh:mm a.m./p.m.)
* End time of event (hh:mm a.m./p.m.)


Any alternative event dates you would like us to consider?  (Please explain.)

Step 3. Event details
* Event title/name
Subject/theme of event
* Estimated attendance
Describe any invited news media
How is your event being publicized or promoted?

* Location of event (include address and room name):

Describe audience members (ex: business leaders, insurance agents, senior citizens. Any VIPs?):

Has the commissioner spoken to your group before? Yes No

If Yes, approximately when.

Step 4. Speech details
* Speech topic
* Start time of speech (hh:mm a.m./p.m.)
* End time of speech (hh:mm a.m./p.m.)
* How long for audience Q&A?

* Please provide details of your event, including draft agenda.

How is the room set up (podium, tables, theatre-style seating, etc.)?

Step 5. Logistics
Who will introduce the commissioner? (name and title)
Will a meal be served? Yes No

Any additional information you'd like to share?
 
   


Updated 04/03/2013

See also

Need more help?