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If you would prefer to print the form and send by mail or fax, please click here to get the form in PDF format, then print, and send requests to:

Director's Scheduling Office:
 P.O. Box 30004, Lansing, MI 48909           Scheduling Questions?  Email the Scheduling Office.
I.D. Mail: 4th Floor, Ottawa Building, Lansing Run
Fax: 517.373.2129
 
Event Information (All BOLD fields are required.)
EVENT:
TOPIC: (Please be specific)
DATE OF EVENT:
   (mm/dd/yyyy)
EVENT DETAILS: (You must choose a beginning and end time for at least one of the three choices.) LOCATION:
Reception  Begin:   End:   Our Office  Other If Other: 
Meal  Begin:   End:   Our Office  Other If Other: 
Program  Begin:   End:   Our Office  Other If Other: 
EVENT REQUEST: (Check all that apply)
Attend Only
Keynote Speech
Panel
Greetings/Comments
Meeting
Present Proclamation/Grant/Award
Representative Desired if Director Unavailable?
Other
GENERAL INFORMATION:
Questions and Answers
Other Speakers?
Other Event Details:
 
Contact Information (All BOLD fields are required.)
REQUESTOR'S NAME:
TITLE:
ORGANIZATION/ASSOCIATION/FIRM/OFFICE:
MAILING ADDRESS:
OFFICE PHONE:
CELL PHONE:
FAX NUMBER:
E-MAIL ADDRESS:
HOME PHONE: (or Other Emergency After-Hours Contact)
 
Attendee Information (All BOLD fields are required.)
ATTENDEE DESCRIPTION (i.e. Association members, students, general public, seniors, etc.)
NUMBER EXPECTED
 
  
Type the characters you see in the picture above.
 
  
 
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