Senator Bennett
Booking Request
Event or Group Name
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Event Date
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Event Time
*
Location
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Would you like Senator Bennett to speak or simply attend the event?
*
Attend
Speak
If speaking is requested, what is the desired topic?
Length of time allocated for remarks
Contact Person
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First Name
Last Name
Contact Phone
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Area Code
Phone Number
Contact Email
Preferred Contact Method
*
Phone
Email
Other Comments
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