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: *** Salutation: Select Prefix: Mr. Ms. Mrs. Dr. First Name: *** First Name: Last Name: *** Last Name: Suffix: Suffix: Optional Suffix: Jr. Sr. II III MD PhD Street Address: *** Street Address: City: *** City: State: *** State: Zip Code: *** Zip Code: Email Address: *** *** Email Address: Phone Number: *** *** *** (Phone Area Code ) - Phone Prefix - Phone Last 4 Digits Proposed Date: ****** Proposed Date: Proposed Time: *** *** *** Choose Proposed Time Hour Hour: 1 2 3 4 5 6 7 8 9 10 11 12 : Choose Proposed Time Minutes Minutes: 00 15 30 45 : Choose Proposed AM or PM Select: AM PM Details/Subject of Meeting: *** Details/Subject of Meeting Attendees: *** Attendees: Notes: *** Notes: Please fill out ReCaptcha field: Google reCAPTCHA verification