Political Scheduling Requests

Printable Forms:

Click here for a Scheduling Form in MS Word format

E-mail us your scheduling request using the form below

Organization:
Contact:

Address: 

City:  

State:

  Zip:

County:

Home Phone:

Daytime Phone:
Mobile Phone:

E-mail:   

Date of event:
Start time:
End time:
Preferred arrival time:
Do you wish for Auditor Merritt to speak?   For how long?
Preferred topic:
Name of Venue:
Physical Address of Venue:
Projected attendance:

 

Additional Information:

Paid for by the Les Merritt Committee - P.O. Box 37548 - Raleigh, NC  27627