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Thursday, Jul 03, 2008
 
 
 


Appearance Request

Interested in inviting Alexi or a representative of the campaign to address your organization?

Please fill out the form below and we will be in touch with you as soon as possible.

Your Email:*
Your Name:*
Phone Number:
Candidate/Staff Requested:
Event Name:
Sponsoring Organization:
Event Date:
Event Time:
Location: +   -
Travel/Parking Directions: +   -
Expected Attendance:
Campaign Literature Allowed?: Yes
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Please describe the event: +   -
Event Contact Person:
Event Contact Phone Number:


 

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