Event Request Form - Events - Emmer for Governor

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Events » Event Request Form

Invite Tom or Annette to your event!

Please fill out the form below for all scheduling requests.
If you have any questions regarding Tom Emmer’s schedule, contact Jen Niska at (952) 562-2616.
For questions regarding Annette Meeks’ schedule, contact Carrie Zimmerman at (952) 562-2607.

Contact Information

Name

E-Mail

Phone

Evening/Cell Phone

Event Information

Host

Date

Start Time

End Time

Event Type

Location

Address

City

Expected Attendance

Media Plan

Program and Speaking Details

Preferred Guests
(Check all that apply)

Rep. Tom Emmer Annette Meeks
Jacquie Emmer Other

Additional Information or Instructions

Description of Organization

Organization Website

The Emmer Campaign may not be able to accommodate every scheduling request.

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