Request An Appearance
Path:
Home
>
Request An Appearance
Saturday, Jul 31, 2010
Topeka, KS Time:
11:18am
If you would like Treasurer McKinney to make an appearance please fill out the form below. Submitting the form will send an e-mail to our office with your information.
*
- required field
Treasurer Appearance Request Form
Type of Event
*
Meeting
Visit
Formal Event
Date
*
mm /
dd /
yyyy
Start Time
*
:
AM
PM
End Time
*
:
AM
PM
Number Attending
*
Group or Organization
*
Title
Mr.
Mrs.
Ms.
First Name & Middle Initial
*
Last Name
*
Street Address
*
Address Line 2
City
*
State/Province/Region
*
Zip Code
*
E-mail
*
Phone
*
-
-
Cell Phone
-
-
Fax
-
-
Event Name
*
Event Location
*
Street Address
*
Address Line 2
City
*
State/Province/Region
*
Zip Code
*
Contact at Event
*
Contact Cell Phone
*
-
-
Is the event open to the public?
*
Yes
No
Will a meal be served?
*
Yes
No
If the Treasurer is not available, would another staff representative be ok?
*
Yes
No
If yes, is there anyone in particular you would prefer?
Appearance Type
*
Attend Only
Keynote Speaker
Welcome
Brief Remarks
Photo OP
What time would you like the Treasurer to arrive?
*
:
AM
PM
Exact Speaking Time
*
:
AM
PM
Will there be a Q & A?
*
Yes
No
Other Speakers/Dignitaries
*
Who will introduce the Treasurer?
*
Who will greet the Treasurer upon arrival?
*
Attire
*
Media Contact
*
Bio Requested?
Yes
No
Photo Requested?
Yes
No
Additional Information
Return to the KST home page
[
Home Page
] [
Meet Dennis
] [
Divisions
] [
Services
] [
Press
] [
Contacts
] [
Links
] [
Site Map
]
All Pages and content are the sole property of
Office of the Kansas State Treasurer
Copyright 2009 All Rights Reserved
