Meeting Request | Assemblymember Mike Gipson Representing the 65th California Assembly District

To schedule a meeting, please submit the following scheduling request form.

Due to the large volume of requests, please allow 5 business days before following up on the requests.
Please provide 48 hour advance notice if there are any changes to the list of attendees.

(*) Indicates Required Field

Indicates required field

Name of Organization

First Name

Middle Initial

Last Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Phone

Meeting Topic & Attendees

Topic/Purpose of Meeting

If this meeting is about current legislation please provide the Bill #, author and current location of the bill (if you have that information)

Issue to be Discussed-include position represented by attendees

Attendees (Name, title, whom they represent)

Date/Time & Location

Date/Time

Preferred Location of Meeting

Capitol Office

District Office

Other Location

Description Other Location

Location Address