Office of the Lt. Governor of Alabama

Alabama State House | 11 S Union Street | Montgomery, AL 36130

(334) 261-9590

ltgov@ltgov.alabama.gov

Contact Us

Lt. Governor Will Ainsworth and his staff welcome your comments and concerns. Please feel free to contact us by mail, email, phone, or using the appropriate form below.

General Questions

Name*
First Last
Email Address
Phone Number*
Address*
Street Address Address Line 2 City State Zip
Message*
Check here if no response is needed.
- I just want Lt. Governor Ainsworth to know my opinion so it will be counted.
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Appearance Request

Name*
First Last
Organization*
Email Address*
Phone Number*
Event Date*
Date Format: MM slash DD slash YYYY
Start Time*

: HH

MM
End Time*

: HH

MM
Event Location*
Location Name Street Address City State Zip
Expected # of Attendees:
What is the Lt. Governor's Role (Also list EXACT timeframe):*
Who will introduce the Lt. Governor? (List name & title of person):
Attire (formal, cocktail, business, business casual, etc.):
Will the media be attending this event?
- Yes
- No
Master of Ceremonies (list name & title of person):
What other dignitaries are invited to attend?:
Lt. Governor's Holding Room Location (if applicable):
Is there on-site security?:
- Yes
- No
Name/Phone # of Security Contact:
List names of people sitting at the Lt. Governor's table (if applicable):
Will a podium and mic stand be provided?:
- Yes
- No
IMPORTANT: Include your agenda timeline for the event:
Please list your company/group website and social media handles:
Notes:
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Meeting Request

Name*
First Last
Organization*
Email Address*
Phone Number*
Proposed Date*
Date Format: MM slash DD slash YYYY
Proposed Start Time*

: HH

MM
Details/Subject of Meeting:*
Attendees*
Notes:
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