You must have JavaScript enabled to use this form. Meeting Request Event Request Meeting Request Intro Meeting Text To schedule a meeting with Senator Becker, please submit the following scheduling request form. Due to the large volume of requests, please allow 10 business days before following up on the requests. CONTACT INFORMATION Name of Organization First Name M.I. Last Name Contact Email Contact Phone PURPOSE OF MEETING Topic or Purpose of Meeting Bill Number Position? Support Oppose None Attach Supporting Documents (Upload up to 10 files) BROWSE FILE(s) Maximum 10 files.200 MB limit.Allowed types: jpeg, png, pdf, docx, pptx. Have you met with staff about this? Yes No Who When Attendees Name Title Represents Attendee is a constituent Add Attendee List attendees State attendees name, title, who they represent, and if constituent DATE/TIME & LOCATION Meeting Date Meeting Time Dates and Times are Flexible Additional Dates and Time Preferred Location of Meeting Capitol Office Menlo Park Office Virtual Virtual Meeting Link (ex: Zoom, Microsoft Teams, etc.) Please provide link for this virtual meeting. Location Details If this is an IN PERSON request please include the address, city, state and zip code. Please include all names of attendees for this meeting & preferred location of meeting. Additional Comments Event Request Intro Meeting Text To invite Senator Becker to attend an event, please submit the following scheduling request form. Due to the large volume of requests, please allow 10 business days before following up on the requests. CONTACT INFORMATION Name of Organization First Name M.I. Last Name Contact Email Contact Phone EVENT LOGISTICS Event Start Date Event End Date Event Start Time Event End Time Speaking Date Speaking Time Speaking Length Date and Time are Flexible Additional Notes About the Dates or Times for Event Location Setting Indoors Outdoors Virtual Held Event Address City State Zip Code Virtual Meeting Link (ex: Zoom, Microsoft Teams, etc.) Please provide link for this virtual meeting. Location Details EVENT DETAILS Event Title Subject Matter to be addressed Please be concise. Dress Attire Business Casual Formal Senator's Role * Participate on Panel Remarks/Speech Q & A Present Resolution/Certificates Attendance only Other… Enter other… Additional Information about Senator's role Will Other Elected Officials be in Attendance? Yes No Are Press or Media invited to attend? Yes No Will There Be A Q&A? Yes No Number of Attendees Additional Information About Event EVENT FILES Attach Supporting Documents (Upload up to 10 files) BROWSE FILE(s) Info, Agendas, Flyers, etc. Maximum 10 files.200 MB limit.Allowed types: png, pdf, doc, docx, pptx. Leave this field blank