Meeting Request Form Please use the form below for scheduling a meeting. Location(Required) Wisconsin Washington, D.C. Request Type(Required) Meeting Event/Speaking Virtual Meeting Expected Attendance?(Required)Request InformationName of Group/Organization(Required)Description of Group/Organization(Required)Purpose for Meeting/Event(Required)Please provide the specific issues you wish to discuss. 150 Character limitIf event, will the Senator be a featured speaker? If yes, please answer a), b), c), and d) below. Otherwise, move on to the next section.(Required) Yes No a) For how long is he being asked to speak (up to 15 minutes)?b) What is the topic?c) Will there be Q and A? Yes No d) Will press be in attendance? Yes No Contact InformationName(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Phone(Required)Email(Required) Event Address (If D.C., leave blank)Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Scheduling InformationAvailable Date(s) of Meeting/Event(Required)Time of Event or Availability for a Meeting(Required)Names, Titles and Hometown of Participants(Required)Any Additional Information
