Event Request

• Political gathering/meeting
• Social gathering/meeting
  
• Ribbon Cutting
• Private party/wedding
  

Please complete and submit the following Event request and my office will be in touch with you. Please note that sufficient notice is required to process all requests.

Type of Event

	Politcal Gathering/Meeting
	Social Gathering/Meeting
	Ribbon Cutting
	Private Party/Wedding

Contact Information

Your Name :
Email Address :
Address :
City :
Province :	Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon
Postal Code :
Telephone :
Cellphone :

Event Details

Event Details :
Date :

Security Code

Security Code : (what is this?)	Generate a new code