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Request a Speaker for your Event
Scheduling Request
Please fill out the form below to request that Chairman Brian Schimming or another WisGOP surrogate comes to speak at your event. Upon receipt, WisGOP staff will be in contact!
Requesting Organization
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Event Name
(Required)
Event Description
(Required)
Surrogate/Speaker Requested
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Event Contact Name
(Required)
First
Last
Event Contact Phone
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Event Contact Email
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Event Date
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MM slash DD slash YYYY
Event Time
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Venue Name
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Venue Street Address
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Venue City
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Venue State
Venue Zip
Event Link (if applicable)
Need Speaker Confirmed By
MM slash DD slash YYYY
Attach Flyer/Invitation Here
Attach Flyer/Invitation Here
Max. file size: 128 MB.
Phone
This field is for validation purposes and should be left unchanged.
148 East Johnson Street
Madison, WI 53703
(608) 257-4765
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