Appearance Request Form Thank you for your interest in having Governor Kay Ivey attend your event! Due to the fluid nature of the Governor’s schedule, we typically cannot confirm appearances more than four weeks in advance. Additionally, Governor Ivey’s schedule can change at any time. We respectfully request that you do not place Governor Ivey’s name on any notifications, invitations, programs, or agendas unless you receive written confirmation of her attendance from the Governor’s Scheduling Office. For any press notifications, please contact the Governor’s Communications Office. Please note that certain fields are required before your request will be sent. Salutation: *** Select Prefix: Mr. Ms. Mrs. Dr. First Name: *** Last Name: *** Suffix: Optional Suffix: Jr. Sr. II III MD PhD Cell Phone Number or Direct Line: *** *** *** () - - Email Address: *** *** Event Date: ****** Event Start Time: *** *** *** Hour: 1 2 3 4 5 6 7 8 9 10 11 12 : Mins: 00 15 30 45 : Select: AM PM Event Title: *** Event End Time: *** *** *** Hour: 1 2 3 4 5 6 7 8 9 10 11 12 : Mins: 00 15 30 45 : Select: AM PM Event Description: *** Indoor or Outdoor Event:*** Event Type: Indoor Outdoor Both Event Location/Address: *** Room Name: Security Contact: First Name: *** Last Name: *** Phone Number: *** *** *** () - - Expected Number of Attendees: *** Governor's Role & Timeframe: *** Speech Topic & Speech Length (If Applicable): *** Run of Show/Agenda/Timeline: *** Who will introduce the Governor? (Name & Title): *** Podium or Microphone Provided: *** Yes or No: Yes No Open to Press: *** Yes or No: Yes No Dignitaries Invited to Attend: *** Holding Room (If Applicable): Meal Served at Event: *** Yes or No: Yes No Others Sitting at Governor's Table (If Applicable): Notes: *** Please fill out ReCaptcha field:
