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Kentucky Transportation Cabinet
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Appearance Request
Please Provide the following information
Request For
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Secretary Jim Gray
Deputy Secretary Mike Hancock
REAL ID Project Manager Sarah Jackson
Second Request
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Secretary Jim Gray
Deputy Secretary Mike Hancock
REAL ID Project Manager Sarah Jackson
Individual / Organization Making Request
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Point of Contact
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Name of Event
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Event Date
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Event Start Time (User Local Time Zone)
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Event End Time(User Local Time Zone)
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Time of Appearance
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Venue Address
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Venue Name / Location Name
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Venue City
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Venue State
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Venue Zip Code
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Event Theme / Topic
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Target Audience
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Number of Attendees
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Event Attire
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Formal
Business
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Food / Meal Provided
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Food / Meal Provided
No
Food / Meal Provided
Yes
Dignitaries or Speakers Participating
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Time Allotted for Remarks
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Suggested focus of remarks
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Organization and Event Websites
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Social Media Links
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Additional Notes
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Are you flexible with the date and time?
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Are you flexible with the date and time?
No
Are you flexible with the date and time?
Yes
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