Organization and Contact Information Organization or Group Name Contact Person First Last Contact Email Contact Primary Phone Other Phone Event Location and Time Event Name Venue for Event Address of Venue Address Address 2 City/Town State/Province MOAlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Event Date Event Start Time Event End Time Time of First Lady's Appearance Event Details Event Background Information Schedule for the Event/Day Dignitaries, other speakers participating Role of First Lady at Event Event Setup Attire Audience Expected Number of Attendees Are Media expected to attend the event? Yes No Not Sure If yes, please provide the name(s) of the Media Outlet(s) Will there be food served at this event? Yes No Other Comments or Details Submit
