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Event Request Form for Administrator E. Scott Pruitt
U.S. Environmental Protection Agency
To request the Administrator to attend and/or speak atyour event, please complete and submit the followingform.
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Date of
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Type of Event (banquet, lecture, panel discussion, etc.):
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Role o f the Administrator:
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Approximate time will the Administrator's Remarks Begin (example 9:00 am): O '-O O <?
Expected length of the Administrator's remarks:
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Will there be Q&A? If so, for how long and who from? Ex: press, attendees: (JJ? 0 /y v n u riC J 4
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Event begins (example 9:00 am):
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Event ends (example 9:00 am): f ^ p f i | *7 ^
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Event address {please include room name o r number i f applicable): "T"E AA/tMflQi*lCT~l fal& f j
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f 'yO ifoht Line Csmmlssimury 0 \tm isomj Plfease list the name and title of the individual who will introduce the Administrator:,
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Approximate size of the audiencenPlease also include a brief description of the makeup of the
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17cv01906 Sierra Club v. EPA
ED 001523B 00002732-00001
audience ( attorneys,; business owners, veterans, students etc,):
Please indicate your request for tfoe topic o f the Administrators remarks, if applicable: p
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Please list any special guests, elected officials, or other dignitaries who are invited or are
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Please list any other speakers at this event:
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Is this event open to the media?:
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address for the contact:
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If applicable, please list the name(s) and contact information o f the person(s) who will greet the Administrator upon arrival, including a cell phone number and e-mail address for each contact:
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Please list any special information or directions, such as ongoing construction, specific points o f entry, or parking instructions, about the event or location:
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Please list below any other relevant information such as agendas, background information or other relevant information about the event. (Inform ation may also be attached and subm itted with this form.)
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Please include a contact number for the event location:
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Please indicate whether this event is held weekly, monthly or annually:
Please indicate the attire for this event (business, formal, casual, etc.):
Please list any agencies, businesses, schools or universities, or other organizations that may be
sponsoring or co-sponsoring this event:
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Please provide the security contact if contracted or head of,security for event location:
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17cv01906 Sierra Club v. EPA
ED 001523B 00002732-00002
