Scheduling Office - Michigan Secretary of State Jocelyn Benson
Speaker / Attendee Request Form

 


 
Event Name:
Date:
Time:
Duration:
Secretary's Role (Speaker, Attendee, Meeting Participant)

   
Event Location:
County:
Number of Attendees:
Media Invited (Yes/No):
 
Please provide the following contact information.*
Web Address:
Contact Person / Title:
Phone:
Email:
Street Address:
City:
State:
Zip Code:


Thank you for contacting the Secreary of State. Every effort will be made to accommodate your request, given availability.

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* A phone number or email address is required for a response. We will only use this information to respond.

For questions concerning this form please Email: TarnasK@Michigan.gov

 

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