Request the VICE-PRESIDENT
*required fields in yellow
To make it easier for us to fulfill your request, please provide ALL of the information requested.

Party Making Request:


Email Address:    

Phone Number:          
Fax Number:
We Invite Vice-President Ben Shelly as our:

Event Date:
Time:      
Location of event: (include address, building, room number and entrance)


Description of event:

Purpose of Vice-President's Involvement:


Who will be in attendance?
(Include any special guests you have invited, and approximate head count.):


Is press/media involved? In what capacity?: Speech Details Topic:

Length of speech:



Will a Podium be provided: Who will introduce him?:







Who else is speaking/performing?










Please provide the following information: What is the dress attire:

  
  (An intinerary of the event, driving directions, if applicable, talking points about your organization/group/initiative, any other important information):

 
Will a Microphone be provided:   
Security Code:
Visual verification