Scheduling Requests

Due to the Member’s schedule, not all requests can be filled.

To expedite the scheduling process, we ask you to include the following details:

Your full name
Your email address and phone number
Your street address (please include city, state, and zip code)
Are you with an organization? If so, which organization (provide website) and what is your title?
Details – is this an appearance, speaking engagement, event, or meeting?
If the request is for an event/meeting outside of our D.C. and Texas offices, please provide the event/meeting location
Number of attendees
Topics

Note: If you’re a member of the media who wishes to interview the Congresswoman, please email Rosie.Wilson@mail.house.gov.

Scheduling Request

Note: Fields marked with an * are required.

Complete and submit this form to request Representative Van Duyne's appearance at a meeting, speaking function, or a non-speaking function. Due to the Member's schedule, not all requests can be filled.

Your Information

Prefix *

First Name *

Middle

Last Name *

Suffix

Organization *

Title

Website

Street Address *

Street Address Continued

City *

State *

Zip Code *

Email *

Phone Number *

By submitting a mobile number you are opting in to receive text alerts.

Event Details

Type of Appearance *

Event Date *

Event Location *

If other please provide the address information

Other Location Information

Street Address

Street Address Continued

City

State

Zip Code

Number of Attendees *

Speaking Topics *

Are you a resident of TX-24 or is your business located in TX-24 *

Have you met with the Congresswoman before? *

Comments

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Scheduling Requests

Scheduling Requests

Scheduling Request

Dallas District Office

Tarrant District Office

Washington, D.C. Office