Online Invitation Form


This online form has been designed to provide you with a convenient way to invite Secretary Merrill to an event. We ask for your patience as we cannot make commitments more than 30 days in advance of an event.

Fields marked with an asterisk (*) are required fields

 

*Name of the Event
 

*Date of the Event
 

*Sponsoring Organization
 

*Time of the Event
  AM  PM

*Secretary's Participation Time
   AM  PM

*Town
 

*Street Address
 

*Directions to the Event: (Please provide detailed direction to the event)

 

 

 EVENT DESCRIPTION AND ROLE OF THE SECRETARY IN THE EVENT
* Please provide a brief description or outline of the event in addition to a formal or proposed agenda
 


* Please provide some basic information about the role of the Secretary in the event. For example, would you like her to serve as keynote speaker? Attend a groundbreaking? Take a tour? Meet with students?

 

 

ABOUT THE AUDIENCE
* Please advise on the composition of the audience. For example, will the audience be business people? Teachers? Employees? Are there any issues that are of interest to the audience that they would like the Secretary to address?

 

Expected Number in Attendance

 

*Name of Requestor
 

*Telephone Number
 

Address Information

*Street
 

*City
 

*State

 

*Zip Code
 

Email Address

Cell Phone Number
 

Fax Number