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Governor Wilder Requests
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Email
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Name
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Phone Number
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Organization/Affiliation
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Event Name
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Location of Event
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Time & Date - Please list areas of flexibility
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Length of Event
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Length Allotted for Governor Wilder
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Topic(s) the Governor should cover in his remarks
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Purpose of Event
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Audience: Who, How many?
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Other Speakers
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Elected Officials Attending
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Who will introduce the Governor?
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Accommodations or meals provided
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Honorarium amount
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Additional information
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