Congresswoman Carolyn Cheeks Kilpatrick - Event Scheduling Request Form

If you would like to invite the Congresswoman to an event, please complete the scheduling form below. All attendance by the Congresswoman at events are confirmed in writing ONLY, usually one to two weeks in advance. No events are confirmed by telephone or in person. If you have not received written notice seven days before the event, please send an e-mail to Andrea Bragg (Detroit events) or Marvene Resendez (Washington, DC events).

PLEASE NOTE: Fields marked with an asterick (*) are required fields and must be filled out.

Contact Information:
*Organization:
*Name of Contact:
Job Title:
*Address 1:
Address 2:
*City:
*Email:
*State:	*Zip Code:
*Daytime Phone:	(must include area code)
*After Hours Phone:	(must include area code)

Event Information - Please fill out the following fields to invite Congresswoman Kilpatrick to an event:
*Event Type:
*Event Location:
*Is Event Open to Public?
*Is Event Open to Media?
*Date of Event:
*Start Time:	*End Time:
*Specific Location/Place Event Will be held:
* Directions from nearest Federal or State Highway:
Estimated Number Attending:
Event Theme:
Additioanl Comments: