Name of Organization:
Event Organizer:
Description of Event:
Date of Event:
Address of Event:
City:
State:
Zip Code:
Contact Name:
Contact Phone Number:
Is this event open to the press?
Is there a speaking program: YesNo
Include link to invitation:
Note: Please note that we cannot confirm events more than 4 weeks in advance. Also, for security purposes, please refrain from using Commissioner Patrick’s name on any media or promotional materials until confirmed. We look forward to working with you.