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About Shafqat Ali
Privacy Policy
Home
About Shafqat Ali
Privacy Policy
Home
About Shafqat Ali
Privacy Policy
Event Request Form
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Requester Name
*
Requester Phone
*
Requester Email
*
Event Date
*
Type of Event
*
Conference
Seminar
Fundraiser
Celebration
Gala
Commemoration
Anniversary
Reception
Community Gathering
Wedding
Award Ceremony
Other
If Other, please specify
*
Event Name
*
Event Description
Event Start Time
Event End Time
Is the event by an Organization?
*
Yes
No
Organization Name
*
Organization Website / URL
Organization Details (Brief description of your organization in 2 to 3 lines)
*
Event Venue Address
*
Address Line 1
City
State / Province / Region
Postal Code
Event Venue Access Details (Precise location, parking info, and directions for official arrivals)
*
Expected Number of Attendees
*
Preferred Arrival time for MP Shafqat Ali (peak audience)
*
speak Attendees Event
Will the MP be expected to speak or provide remarks?
*
Yes
No
Specify the length of time MP is expected to speak (in minutes)
*
Will other dignitaries / media be attending?
*
Yes
No
Provide names of other dignitaries attending
*
Primary Point of Contact
Primary Contact Name
*
Primary Contact Phone
*
Secondary Point of Contact
Secondary Contact Name
Secondary Contact Phone
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