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Governor Daugaard's Scheduling Request

Please use the form below to request an appearance by or meeting with Governor Daugaard.

* denotes required field

General Event Information

Basic Information

* Event name:
* Organization:

Date/Time

* Event date
* Start time:
* End time:
Is this date flexible?

Event Location (Please be specific)

* Venue:
Room #:
* Address:
* City:
County:
* State:
* Zip/Postal code:
Additional comments:

Contact Person:

*Contact First Name:
* Contact Last Name:
* Contact phone:
* Contact e-mail:

Contact Person at the Event:  

* Contact First Name:
* Contact Last Name:
* Contact phone:
Contact e-mail:

Event Specifics

Governor Daugaard's Role

What is the level of participation you would like?
If other, please explain:
If the Governor is unable to attend, would you accept a staff member or alternative form of participation?
If other, please explain:

Program Information

* What is the agenda, including timeline and speaking order?
Please include key participants and/or other speakers.
Number of expected guests?
Will media be in attendance?



Is this private or open to the public?

Additional Notes

If there is additional information you wish to provide, please include it here:
Attach document here (in a document form such as Word, RTF, etc., not in PDF form; 4MB limit):