State Auditor Josh Gallion Speaker Request
Name of organization hosting the event
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Contact name
*
First Name
Last Name
Contact phone
*
Please enter a valid phone number.
Contact email
*
example@example.com
If the State Auditor is not available, would you be interested in having a representative from the State Auditor's Office attend in his place?
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Yes
No
Event summary
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Is the event open to the media?
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Yes
No
Is the event open to the public?
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Yes
No
Event date and time
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Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
If the event has not been scheduled, please indicate when you are planning the event
Event location
Role of the State Auditor
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Estimated attendance
Do you need a biography and headshot?
Yes
No
How long would you like him to speak and on what topic? Please include the length of speaking time
*
Any other helpful information
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