What is the request? Check one:
Who is the working contact for the event?
First Name:
Last Name:  
Address:  
City:  
State:
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Zip:  
County:
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Email:  
Primary Phone:  
Fax:  
Mobile Phone:  
What is the date and time of the event?
Date:
Open the calendar popup.
Time:
What is the physical address where event would be held?
Street:  
City:  
State:
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Zip:  
County:
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Who is the sponsor or host of the event?
 
What is the purpose of the event?
 
What is the background of the event?
 
What is the expected number of attendees for the event?
 
What is the agenda for the event?
 
Is the Governor expected to deliver remarks at the event?
Is the Media invited to attend the event?
If the Governor is unable to attend, can his representative attend the event?

PLEASE NOTE: Under Ohio's Ethics Laws, the Governor cannot accept gifts except in very limited circumstances and where the value of the gift is minimal. Governor Kasich appreciates the thoughtfulness behind the gifts, but asks that event coordinators and other refrain from this practice.