Washington State

Office of the Attorney General

Attorney General

Bob Ferguson

Thank you for your interest in having a Consumer Protection representative at your event. In order to help us facilitate your request, please complete and submit the following form to CPOutreach@atg.wa.gov at least 4 weeks prior to the event. Please allow 3-5 business days for the Consumer Protection Division's Outreach Services team to contact you.

If you have any questions or need help completing the Outreach Request Form, please call the Consumer Resource Center at 1-800-551-4636.

Please Note: While every effort will be made to accommodate your request, staff schedules are subject to change and may require speaker substitutions.

* Starred fields are mandatory in order to process your request.
Event Organizer

*Name of Organization Submitting Request:

*Event Sponsor(s):


*Coordinator/Point of Contact:
Name, title, office phone and/or cell phone

*Contact e-mail address:
 

*Confirm e-mail address:
 

Event Details

*Event Name/Title:
 

*Event Location:
 

*Event Date/Time:

*Event Type:
Conference, dinner, small group, etc.

*Event Purpose/Goal:
 

Event Website:

Presentation/Event Details

*Requested Topic:
 

*Presentation/Event Format:
Resource fair, presentation, round table, panel, etc.
 

*Total Expected Duration:
30 minutes, 1 hour, etc. Include Q&A time
 

*Question and Answer Time:
How much time will be allocated?
 

Audience Details

*Audience:
Approximate size of audience. Also briefly describe its make-up and if membership is required to attend.
 

Honorable Guests:
List names and titles of members of Congress, CEOs, or other VIPs participating in, or attending the event.

*Media:
Will media be invited? If so, will the event be open or closed press? Describe and submit media list
 

*A/V Equipment Provided/Needed for Presentation:
 

*Projector Input Type:
 

Disclaimer and Signature:

Please submit speaking requests at least 4 weeks prior to the event.
Please allow 3-5 business days for a response.

If you have any questions or need help completing the Outreach Request Form, please call the Consumer Resource Center at 1-800-551-4636.

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*Name: