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MEET SENATOR DUNCAN

Request an Appearance

Request an appearance of Senator Robert Duncan at any of your events, organizations or meetings. Appearance Requests will be handled in the order in which they were received. Please complete this form. You may download and print this form to be faxed in to 512-463-2424 or click the "Click to Submit" button to submit this form. click here to download PDF form
Date   Time: start   finish
Event Title
Location

room

address

site contact

title

telephone

fax
Met By
Primary Contact
name
assistant
title
company
mailing address
city state   zip
office phone
office fax
home phone
cell
pager
id/pin  (if applicable)
email
Event Coordinator (If different than primary contact)
name
assistant
title
company
mailing address
city state   zip
office phone
office fax
home phone
cell
pager
id/pin  (if applicable)
email

Event Information 

attire  casual  business  cocktail  black tie
audience expected attendance: number invited:
general description
Other speakers / elected officials / VIP's

Requested Length of Senator Duncan's Remarks 

Welcome (3-5 min)
Brief Remarks (5-10 min)
Keynote (10-15 min)

At what time will the senator speak? 

Introduced by Title:

Additional Event Information 

Dais Guest / Head Table

Program 

Please fax or email (marcie.cummings@senate.state.tx.us) a complete program for your event and a diagram of seating as soon as possible, or list the general timing of the event here:

Will there be a PA system or auxiliary sound system? yes no 
Will there be an overhead projector available?yes no
Will there be a computer and digital projector available? 
yes no
Do you plan to invite members of the media? yes no

 

 

Before any communications to the press are made regarding Senator Duncan's participation, please contact Deon Daugherty 512-463-0128. 

Political Ad paid for by the Robert L. Duncan Campaign, Box 2309, Lubbock, Texas 79408