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Congressman Andre Carson

Representing the 7th District of INDIANA

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Invite Me to Speak

Complete and submit this form to request Congressman Carson to speak at your event. Due to the Member's schedule, not all requests will be filled.

* marks required fields of data.

Primary Contact
Name:
City/State/Zip:
Method of Contact:
Event Information:
Event Start Date & Time:(e.g. 2:00 PM)
:
Event End Date & Time:(e.g. 2:00 PM)
:
Event Venue/Event Type/Event Attire/:
Other Event Type/Other Event Attire:
Will media be present:
List dignitaries and community leaders invited to event:
Dignitary/Community Leader
Dignitary/Community Leader
Dignitary/Community Leader
Dignitary/Community Leader
Participation Information:
If the Congressman is speaking, what time and for how long?:
:
Speaking Area:
Program Information:
Would you like a congressional greeting for your program? If yes, what is the printing deadline for the program?
If the Congressman is unavailable to attend, would you accept any of the following: (check all that apply)
If you are requesting a staff representative:
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