Event Request Form - Kathy Barnette

Interview/Event Request Form

Thank you for your interest in scheduling an event with Kathy Barnette. Kathy really appreciates opportunities to connect with voters, whether it's in person or online. She's currently traveling the state of Pennsylvania everyday, doing her best to connect with her future constituents. Please fill out the form below and a Communications team member will get back to you. Thank you!

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Name*

First Last

Email*

Phone*

County*

Interviewer/Event Host/Sponsor

Please select the option that best describes your request.

Media Request (TV, Radio, Podcast)

In-person Speaking Request

Fundraiser Event

Meet and Greet

Debate/Forum

Townhall

Date Requested

Time Requested

Address of Requested Event (if applicable)

Street Address Address Line 2 City State ZIP Code

Additional Information

Name

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