Event Request

Please submit your event requests at least 3 weeks in advance of requested event. As a result of the high volume of scheduling requests, submitting your request earlier will increase the likelihood that your request will be able to be fulfilled.

Indicates required field

Requestor Point of Contact

First Name

Last Name

Name of Organization(s)

Phone

Event Information

Event Date

Event Start Time

Event End Time

Event Location

Event Address

Event Address 2

Event City

Event State

Event ZIP/Postal Code

Event Country

Number of Event Attendees

Names of any VIPs Attending Event

Requested Role for Assemblymember in Event

Time duration requested for Assemblymember's attendance: beginning at what time is he requested to arrive, and time he is able to depart?

Additional Request Notes

Connect with us

Capitol Office

P.O. Box 942849

Sacramento, CA 94249-0026

Phone: (916) 319-2026

Fax: (916) 319-2126

District Office

20111 Stevens Creek Blvd, Suite 220

Cupertino, CA 95014

Phone: (408) 446-2810

Fax: (408) 446-2815