Schedule an Event in Vermont

Prefix
—Please choose an option—Mr.Ms.Mrs.MissMr. and Mrs.MxDr.Prof.SenatorGov.CongressmanHonFr.SisterRabbiReverendFleet AdmiralAdmiralVice AdmiralRear Admiral (upper half)Rear Admiral (lower half)CaptainCommanderLieutenant CommanderLieutenantLieutenant Junior GradeEnsignMaster Chief Petty Officer of the NavyMaster Chief Petty OfficerSenior Chief Petty OfficerChief Petty OfficerPetty Officer First ClassPetty Officer Second ClassPetty Officer Third ClassSeamanSeaman ApprenticeSeaman RecruitChief Warrant OfficerWarrant OfficerSgt. Major of the CorpsSergeant MajorMaster Gunnery Sgt.First SergeantMaster SergeantGunnery SergeantStaff SergeantSergeantCorporalLance CorporalSpecialistPrivate First ClassPrivateGeneral of the Air ForceGeneralLieutenant GeneralMajor GeneralBrigadier GeneralColonelLieutenant ColonelMajorFirst LieutenantSecond LieutenantChief Master Sergeant of the Air ForceCommand Chief Master SergeantChief Master SergeantSenior Master SergeantTechnical SergeantSenior AirmanAirman First ClassAirman

First Name *

Last Name *

Organization

Street Address *

Street Address (2)

City *

State *
VermontAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code *

Email *

Phone

Day-of Contact Phone Number*

Name of Event *

First Day Available *

Last Day Available *

Event Start Time *

Who is the Sponsor/Host of the Event *

Is This An Annual/Monthly/Weekly Event?*
Non-RecurringAnnualMonthlyWeekly

Is This Event Open to the Press?*
YesNo

Street Address of Event *

Street Address 2 of Event

City Where Event is being Held*

State Where Event is being Held*
VermontAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code of Event *

Please list all invited elected officials/VIP guests *

Please describe Senator Sanders role(Guest, Keynote Speaker, Awardee, ETC) *

Is there a speaking program?*
YesNo

What is the overall set up of the event – stage, podium, rows of chairs, tables? *

Will this event be filmed?*
YesNo

Is there additional information you would like to provide?