Schedule an Event for Virginia 4th

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Your Information

First Name:

Last Name:

Organization

Your Contact Information

Address

Address 2

City/Town

State

ZIP Code

Email:

Confirm email

Telephone

Phone Number

Day-of contact phone number

Phone Type:

What are these options?

Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option 'Voice' is a standard audible telephone.

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Event Information

Name of Event

Legislative Issue:

First date available

Last date available

Event Start Time

Is this an annual/monthly/weekly event?

Is this event open to the press?

Number of attendees:

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Please list all invited elected official/VIP guests

Please describe Congresswoman McClellan’s role (Guest, Keynote Speaker, Awardee, etc.)

Would you like the Congresswoman to speak?

Will this event be filmed?

In the event this appearance request conflicts with the Congresswoman’s schedule, would a video recording or official letter work in her absence?

Is there additional information you would like to provide?