Nebraska Lieutenant Governor Rick Sheehy: Request Personal Appearance

Request that Lt. Governor Sheehy
make a Personal Appearance at an Event:

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*Contact Name
*Office Phone number	Please include area code
Home Phone number	Please include area code
Cell Phone number	Please include area code
*Contact Address Line 1
Address Line 2
*City
State
*Zip Code
*Organization
*Event Name
*Event Date	Use format: mm/dd/yy or mm/dd/yyyy
*Event Time Begins	Use format: hh:mm am/pm
*Event Time Concludes	Use format: hh:mm am/pm
*Location Address Line 1
Location Address Line 2
*Location City
State
*Location Zip Code
Location Phone number	Please include area code
*Audience (example: Seniors, 3rd graders, etc)
*Size of Audience
Lt. Governor's Role:
Remarks
Remarks Topic
Remarks Length
Welcoming Remarks
Ribbon Cutting
As Guest Only
Other
Please send the following information to the Lt. Governor's office as soon as they are available: --Confirming Letter --Agenda --Program --Any other information that will assist the Lt. Governor to prepare for his appearance
Comments
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When this form is submitted it will be electronically sent to Kendra Wiedel, Office of the Lt. Governor, State Capitol, Lincoln, Nebraska 68509. Phone (402)471-2256. Please submit requests with appropriate notice of three weeks.
If you are having problems accessing or submitting this form please Contact the IMServices WebMaster. All other questions should be directed to the Lt. Governor's Office.