ADMINISTUR.AS.TEOnRvSirCoOnTmTe
nPtRaUl IPTrTo
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REQUEST
Agency
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Deadline for Acceptance: Requesting Individual / Affiliation: Event Title: Event Date: Is th e Above Date Flexible: Event Time & Duration: Type of Event:
Purpose of the Event: Role of the Administrator: SRpeeqaukeisntgedInPvroelsveendt:ation Topic, if Requested Presentation Format: Speech/ Presentation Duration: Would You Consider a Surrogate:
Event Location:
Event Audience: Event Host(s)/ Organizers):
Host(s)' R elationship to EPA:
Run of Show/ Agenda:
Sierra Club v. EPA 18cv3472 NDCA
Early September 2017 Mississippi Manufacturers Association - John McKay MMA Environmental 8s Safety Conference 8s Expo October 12-13, 2017 No 8:00am-5:00pm (Oct. 12) 8s 8:00am -l:00pm (Oct 13) Conference Astnanteuaolf mMeisestiinssgipopfiE. HS professionals from around the Speaking Engagement (Keynote) EPA Policy Priorities in the New Administration
Keynote Address with brief Q8sA 1 Hour (Approx. 45-50 min. address; 5-10 min. Q8sA) Yes P(S18ei36lav56re5)lr0R4S7Hitv7awer-r3yCR.2o7e1ns56ofWerrt,enCcheoCcteanwte, rMS 39350 i2mvne0adn0nud-us2otf5rrai0sca/tlEcufonraenvcrsiisrlui.otlniteamsnetasncttraholas8tssdtShoaebfesuttaysitnem.easAnslaswogi,etrhnsefarrolmy 50 Mississippi Manufacturers Association cTormadmeuAnsistyo.ciation representing the regulated wSteilelkins.planning stage. Can promde agenda in coming
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ADMINISTUR.AS.TEOnRvSirCoOnTmTe
nPtRaUl IPTrTo
tEeVctEioNnT
REQUEST
Agency
FO
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tIhs ethAerdemainHisotrldatRoro?om Available for Yes
Open Press/Closed Press?
Closed Press
Dress Code:
Resort Casual
Teleprompter Available:
No
Microphone / Room Setup:
Rwiisreerlepslsatmfoircmavwaiitlhabwleiraesd wmeilcl./podium. Lapel and
Honorable Guests Attending:
Sen. Roger Wicker (inmted)
ANa tpot etpanobdilnient egFd:e doerrEa ll,e Sc tteadt eo of fri cLi aolcsa l
Sen. Roger Wicker (invited)
AInddmiviindiustarlaItonrtr: oducing
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Ex. 6
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AIsntnhuisalelyv?ent held W eekly, M onthly, Annually
Day of Event Point of Contact:
John
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Security Contact:
Name & Title; Email; Office Number, Cell Number
VSuengugee:sted E ntrance/ E xit to Event Main Entrance to Conference Center
AI5s0c1tthi(oce)n(h3Co),ost(m4o)m,f otithrteeheaesv(PeaAnC5t)2:a7rPegoilsittiecraeld MMA is a 501(c)(6) non-profit
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Yes; less than $50
WthiellUaSmceuarlrbenecpyrvoavliudee?d, if so what is Yes; less than $25
Sierra Club v. EPA 18cv3472 NDCA
Tiers 8&9
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ADMINISTUR.AS.TEOnRvSirCoOnTmTe
nPtRaUl IPTrTo
tEeVctEioNnT
REQUEST
Agency
FO
R
M
Please return this form com(hpulpepte.sdydtonesyc(hae)dpuplain.ggCova)p.pa. gov and Sydney Hupp
Sierra Club v. EPA 18cv3472 NDCA
Tiers 8&9
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