Request for Official Appearance Kentucky Department of Agriculture Commissioner Ryan Quarles Event Contact Information Organization Making Request: Contact Name: Email: Phone: Cell Phone: Fax: Address: City: State: Zip: Event Information Name of Event: County: Select County Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Boyle Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Daviess Edmonson Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancock Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Livingston Logan Lyon Madison Magoffin Marion Marshall Martin Mason McCracken McCreary McLean Meade Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Out-of-State Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simpson Spencer Taylor Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford Event Address: City: State: Zip: Event Location: Media Expected: Enter Time Zone: Start Date: (MM/DD/YYYY) End Date: (MM/DD/YYYY) Date of Commissioner's appearance: Time: Commissioner's Role at Event: Suggested Topic of speech: The Length of Speech: None 15 min 30 min 45 min 60 min Q&A Include? Yes No Event Background Information: (Space is limited. If you wnat to provide a copy of news release or agenda please email to firstname.lastname@example.org ) Dignitaries or Speakers Participation (please note invited or confirmed): Targeted Audience: Expected Number Attending: Other Comments: NOTE: Because the Commissioner’s Schedule is so fluid, we typically do not confirm appearances more than two to three weeks in advance. We respectfully request that you do not place Commissioner Quarles name on any notifications, invitations, or agendas unless you receive written confirmation from the Office of Commissioner. If you have any questions or concerns please contact email@example.com or call 502-573-0450. Thank you!