Meeting Request Form Thank you for your interest in setting up a meeting with Governor Kay Ivey! 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. 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 Street Address: City: State: Zip Code: Email Address: Phone Number: () - - Have you traveled outside of the country in the past 30 days? Yes or No: Yes No Organization: Proposed Date: Proposed Time: Hour: 1 2 3 4 5 6 7 8 9 10 11 12 : Minutes: 00 15 30 45 : Select: AM PM Details/Subject of Meeting: Attendees: Notes: Please fill out ReCaptcha field: