Invitation for Secretary Al Schmidt

An Official Pennsylvania Government Website

Department of State

Contact Full Name

*

Contact Organization

*

Contact email

**

Contact Phone

*

Type of Request

Names and Titles of All Meeting Attendees

*

Requested Length of Speech (in minutes)

*

Name of Event

*

Other Details

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Event Topic

*

Event Date

*

Event Start Time

Event End Time

Alternate Date (if first choice is not available)

*

Alternate Start Time

Alternate End Time

Will media be invited?

Additional Comments

*

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